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1174048227
WANDA JEAN KERNS
LAWRENCEVILLE, GA
NPI
1174048227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-08-10
Last Update Date
2017-08-10
Business Address
WANDA JEAN KERNS
1420 WHATLEY MILL CIR
LAWRENCEVILLE, GA 30045-2399
Phone number: 706-908-2630
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Mailing Address
WANDA JEAN KERNS
1420 WHATLEY MILL CIR
LAWRENCEVILLE, GA 30045-2399
Phone number: 706-908-2630
Copy
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