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1376030437
JESSICA CASTELLANOS
LAGRANGE, GA
NPI
1376030437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN093683)
Enumeration Date
2018-04-15
Last Update Date
2018-04-15
Business Address
JESSICA CASTELLANOS
229 S DAVIS RD STE 900
LAGRANGE, GA 30241-2609
Phone number: 706-756-1489
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Mailing Address
JESSICA CASTELLANOS
55 BEATTIE PL STE 810
GREENVILLE, SC 29601-2191
Phone number: 864-527-3145
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