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1255067005
CRYSTAL MARIE LILAVOIS
ATLANTA, GA
NPI
1255067005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA 313809)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
CRYSTAL MARIE LILAVOIS pmhnp-bc
1899 POWERS FERRY RD SE
ATLANTA, GA 30339-5620
Phone number: 239-595-6803
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Mailing Address
CRYSTAL MARIE LILAVOIS pmhnp-bc
2672 LAKEFIELD PASS
MARIETTA, GA 30064-5746
Phone number: 239-595-6803
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