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1235305079
JORGE LUIS LOPEZ-MALDONADO
FORT GORDON, GA
NPI
1235305079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN050471)
Enumeration Date
2008-05-01
Last Update Date
2008-05-01
Business Address
Mr. JORGE LUIS LOPEZ-MALDONADO LPN
300 W HOSPITAL RD
FORT GORDON, GA 30905-5741
Phone number: 706-787-9251
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Mailing Address
Mr. JORGE LUIS LOPEZ-MALDONADO LPN
300 W HOSPITAL RD
FORT GORDON, GA 30905-5741
Phone number: 706-787-9251
Copy
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