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1124383997
ERICA NICOLE STAFFORD
MCDONOUGH, GA
NPI
1124383997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: GA RN198188)
Enumeration Date
2012-07-09
Last Update Date
2012-07-09
Business Address
-- ERICA NICOLE STAFFORD RN
148 SUMMIT VIEW DR
MCDONOUGH, GA 30253-8737
Phone number: 678-491-1561
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Mailing Address
-- ERICA NICOLE STAFFORD RN
148 SUMMIT VIEW DR
MCDONOUGH, GA 30253-8737
Phone number: 678-491-1561
Copy
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