KATHALINA VERSHELLE LACOSTE

STONE MOUNTAIN, GA
NPI1255459335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  114591)
Enumeration Date2007-03-27
Last Update Date2010-10-05
Business Address
-- KATHALINA VERSHELLE LACOSTE NP
5049 HIGHLAND HILLS PKWY
STONE MOUNTAIN, GA 30088-3740
Phone number: 678-777-5995
Mailing Address
-- KATHALINA VERSHELLE LACOSTE NP
5049 HIGHLAND HILLS PKWY
STONE MOUNTAIN, GA 30088-3740
Phone number: 678-777-5995
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