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1295133700
IRECIA CRYSTAL FREEMAN
MACON, GA
NPI
1295133700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN085909)
Enumeration Date
2014-12-15
Last Update Date
2014-12-15
Business Address
IRECIA CRYSTAL FREEMAN LPN
9112 JUNIPER LN
MACON, GA 31220-7673
Phone number: 478-365-1298
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Mailing Address
IRECIA CRYSTAL FREEMAN LPN
9112 JUNIPER LN
MACON, GA 31220-7673
Phone number: 478-365-1298
Copy
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