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1235695503
CRYSTAL GAYLE LAWRENCE
COLUMBUS, GA
NPI
1235695503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN082077)
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
CRYSTAL GAYLE LAWRENCE LPN
421 12TH ST
COLUMBUS, GA 31901-2522
Phone number: 706-494-7796
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Mailing Address
CRYSTAL GAYLE LAWRENCE LPN
158 LEE ROAD 998
PHENIX CITY, AL 36870-9135
Phone number:
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