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1336512250
WONZA DENISE CROWDER
LAGRANGE, GA
NPI
1336512250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN077339)
Enumeration Date
2015-11-02
Last Update Date
2015-11-02
Business Address
-- WONZA DENISE CROWDER lpn
372 YOUNGS MILL RD G
LAGRANGE, GA 30241-1387
Phone number: 706-616-8270
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Mailing Address
-- WONZA DENISE CROWDER lpn
372 YOUNGS MILL RD G
LAGRANGE, GA 30241-1387
Phone number: 706-616-8270
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