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1154947182
MARY DEBRA CASTERLINE
ATHENS, GA
NPI
1154947182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA 091869)
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
MARY DEBRA CASTERLINE LPN
250 BRAY STREET
ATHENS, GA 30601-2244
Phone number: 706-612-6995
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Mailing Address
MARY DEBRA CASTERLINE LPN
1878 KERI LN
WINDER, GA 30680-3256
Phone number: 774-230-8770
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