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1154040699
LORRIE JANE BAZZELL
WOODSTOCK, GA
NPI
1154040699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA Lpn038714)
Enumeration Date
2022-08-26
Last Update Date
2022-08-26
Business Address
LORRIE JANE BAZZELL
270 HERITAGE WALK
WOODSTOCK, GA 30188-3875
Phone number: 678-494-5700
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Mailing Address
LORRIE JANE BAZZELL
270 HERITAGE WALK
WOODSTOCK, GA 30188-3875
Phone number: 678-494-5700
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