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1326448762
MICHAEL STREET
FORT STEWART, GA
NPI
1326448762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 227858)
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
-- MICHAEL STREET
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6762
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Mailing Address
-- MICHAEL STREET
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number:
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