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1518329309
ASHLEY FORMAN
DECATUR, GA
NPI
1518329309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN204187)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
-- ASHLEY FORMAN RN
2591 CANDLER RD
DECATUR, GA 30032-6502
Phone number: 678-209-2710
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Mailing Address
-- ASHLEY FORMAN RN
3065 QUANTUM LN
ATLANTA, GA 30341-8100
Phone number: 678-644-4350
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