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1255590402
JUSTIN RAY
STATESBORO, GA
NPI
1255590402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN071268)
Enumeration Date
2008-06-03
Last Update Date
2008-06-03
Business Address
-- JUSTIN RAY
2014 PINEMOUNT BLVD
STATESBORO, GA 30461-2358
Phone number: 912-764-2995
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Mailing Address
-- JUSTIN RAY
2014 PINEMOUNT BLVD
STATESBORO, GA 30461-2358
Phone number: 912-764-2995
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