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1184394355
PHANTASIA DAVIS
LOCUST GROVE, GA
NPI
1184394355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN269227)
Enumeration Date
2021-09-17
Last Update Date
2021-09-17
Business Address
PHANTASIA DAVIS RN
538 BREWER DR
LOCUST GROVE, GA 30248-2344
Phone number: 678-361-3652
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Mailing Address
PHANTASIA DAVIS RN
538 BREWER DR
LOCUST GROVE, GA 30248-2344
Phone number:
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