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1245960970
MALENA LAUREN BRISSETT
COLUMBUS, GA
NPI
1245960970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN100663)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
MALENA LAUREN BRISSETT LPN
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5500
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Mailing Address
MALENA LAUREN BRISSETT LPN
5253 CRYSTAL CT APT D
COLUMBUS, GA 31907-8007
Phone number: 678-756-1703
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