KACIE LEIGH MALLARD

STATESBORO, GA
NPI1255211942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  079376)
Enumeration Date2025-09-04
Last Update Date2025-10-24
Business Address
-- KACIE LEIGH MALLARD LPN
1404 MALLARD POND RD
STATESBORO, GA 30461-8569
Phone number: 912-531-0721
Mailing Address
-- KACIE LEIGH MALLARD LPN
1404 MALLARD POND RD
STATESBORO, GA 30461-8569
Phone number:
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