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1124678867
KENDRA C HAYNES NUGENT
POWDER SPRINGS, GA
NPI
1124678867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-15
Last Update Date
2019-09-15
Business Address
KENDRA C HAYNES NUGENT
89 WINDRIVER TRL
POWDER SPRINGS, GA 30127-8714
Phone number: 631-553-1210
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Mailing Address
KENDRA C HAYNES NUGENT
89 WINDRIVER TRL
POWDER SPRINGS, GA 30127-8714
Phone number: 631-553-1210
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