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1336220672
LEEANN ELLIS
APPLING, GA
NPI
1336220672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN044588)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- LEEANN ELLIS LPN
6420 POLLARDS POND RD
APPLING, GA 30802-3726
Phone number: 706-447-7693
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Mailing Address
-- LEEANN ELLIS LPN
231 OLEANDER TRL
EVANS, GA 30809-5135
Phone number:
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