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1194385054
LAURA CROCKETT
ATLANTA, GA
NPI
1194385054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: GA L-151124)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
LAURA CROCKETT CLC
754 VIRGINIA CIR NE
ATLANTA, GA 30306-3712
Phone number: 404-561-5538
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Mailing Address
LAURA CROCKETT CLC
754 VIRGINIA CIR NE
ATLANTA, GA 30306-3712
Phone number:
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