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1487399416
MARGARET S. LICAVOLI
BLAIRSVILLE, GA
NPI
1487399416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA RN168368)
Enumeration Date
2022-05-04
Last Update Date
2022-08-17
Business Address
MARGARET S. LICAVOLI
123 WEAVER RD STE B
BLAIRSVILLE, GA 30512-3155
Phone number: 170-643-9648
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Mailing Address
MARGARET S. LICAVOLI
351 E HIGHLAND ST
BLUE RIDGE, GA 30513-4544
Phone number:
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