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1154604015
SAMARA ROBERTSON
MARIETTA, GA
NPI
1154604015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN089484)
Enumeration Date
2011-09-27
Last Update Date
2016-01-11
Business Address
-- SAMARA ROBERTSON LPN
2107 STATION CLUB DR SW
MARIETTA, GA 30060-7517
Phone number: 678-540-2857
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Mailing Address
-- SAMARA ROBERTSON LPN
2107 STATION CLUB DR.
MARIETTA, GA 30060-1227
Phone number: 678-540-2857
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