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1477054252
TERESA R MCCULLEN
AUGUSTA, GA
NPI
1477054252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: GA 0000017)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
TERESA R MCCULLEN IBCLC, RLC
1120 15TH ST # BI7202
AUGUSTA, GA 30912-0004
Phone number: 706-721-8283
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Mailing Address
TERESA R MCCULLEN IBCLC, RLC
112 KINGS CHAPEL RD
AUGUSTA, GA 30907-4002
Phone number: 706-495-4036
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