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1417635889
TAWANNA DENISE ROGERS
FORT VALLEY, GA
NPI
1417635889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA lpn054487)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
TAWANNA DENISE ROGERS
113 HARTLEY ST
FORT VALLEY, GA 31030-4477
Phone number: 478-391-4906
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Mailing Address
TAWANNA DENISE ROGERS
113 HARTLEY ST
FORT VALLEY, GA 31030-4477
Phone number: 478-391-4906
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