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1558729582
STEPHANIE BERROA
LAWRENCEVILLE, GA
NPI
1558729582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA 16WOOOOOX)
Enumeration Date
2016-02-04
Last Update Date
2016-02-04
Business Address
STEPHANIE BERROA LPN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2710
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Mailing Address
STEPHANIE BERROA LPN
1183 IRONWOOD DR
GRAYSON, GA 30017-1039
Phone number: 203-509-8764
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