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1336678317
LISA DOVE BLAKELY
ATLANTA, GA
NPI
1336678317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: GA RN127654)
Enumeration Date
2017-06-05
Last Update Date
2018-03-17
Business Address
LISA DOVE BLAKELY RN
1659 WOODBRIDGE LN NE
ATLANTA, GA 30329-3536
Phone number: 678-548-1416
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Mailing Address
LISA DOVE BLAKELY RN
1659 WOODBRIDGE LN NE
ATLANTA, GA 30329-3536
Phone number: 678-548-1416
Copy
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