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1538417886
QUATINA WILLIS
CONYERS, GA
NPI
1538417886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA lpn066567)
Enumeration Date
2012-08-16
Last Update Date
2023-03-17
Business Address
Mrs. QUATINA WILLIS LPN
612 KESWICK VILLAGE CT NE
CONYERS, GA 30013-6523
Phone number: 678-281-4542
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Mailing Address
Mrs. QUATINA WILLIS LPN
612 KESWICK VILLAGE CT NE
CONYERS, GA 30013-6523
Phone number: 678-800-5091
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