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1508367129
MADELEINE LAVERDURE
DECATUR, GA
NPI
1508367129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA 133610)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
MADELEINE LAVERDURE
1670 CLAIRMONT RD
DECATUR, GA 30033
Phone number: 678-863-2736
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Mailing Address
MADELEINE LAVERDURE
1670 CLAIRMONT RD
DECATUR, GA 30033
Phone number: 678-863-2736
Copy
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