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1417394743
KENNEDY PACKER
ATHENS, GA
NPI
1417394743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN204592)
Enumeration Date
2013-05-28
Last Update Date
2013-05-28
Business Address
KENNEDY PACKER RN
250 NORTH AVE
ATHENS, GA 30601-2244
Phone number: 706-389-6789
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Mailing Address
KENNEDY PACKER RN
250 NORTH AVE
ATHENS, GA 30601-2244
Phone number: 706-389-6789
Copy
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