BENNIE EDWARD CRUDUP

DECATUR, GA
NPI1336261627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN067878)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
BENNIE EDWARD CRUDUP LPN
440 WINN WAY RM 2118
DECATUR, GA 30030-1715
Phone number: 404-508-7857
Mailing Address
BENNIE EDWARD CRUDUP LPN
440 WINN WAY RM 2118
DECATUR, GA 30030-1715
Phone number: 404-508-7857
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