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1497250047
JESSICA B WATERS
CARROLLTON, GA
NPI
1497250047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN090183)
Enumeration Date
2018-03-27
Last Update Date
2018-03-27
Business Address
JESSICA B WATERS LPN
153 INDEPENDENCE DR
CARROLLTON, GA 30116-9000
Phone number: 770-836-6678
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Mailing Address
JESSICA B WATERS LPN
153 INDEPENDENCE DR
CARROLLTON, GA 30116-9000
Phone number: 770-836-6678
Copy
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