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1528002300
ROSA LEE HEAD
DECATUR, GA
NPI
1528002300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
163WA0400X Registered Nurse Addiction (Substance Use Disorder)
(Licence: GA RN106530)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
ROSA LEE HEAD 01/31/08
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
ROSA LEE HEAD 01/31/08
2302 CLANTON TER
DECATUR, GA 30034-1014
Phone number: 404-321-6111
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