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1174007074
SHUNDRA TARVER
LAWRENCEVILLE, GA
NPI
1174007074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN095143)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
SHUNDRA TARVER
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
SHUNDRA TARVER
1189 DUNIVIN DR
JONESBORO, GA 30238-8072
Phone number:
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