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1558972588
STARLA LYNN WADDELL
ROME, GA
NPI
1558972588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN040700)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
STARLA LYNN WADDELL
675A MORAN LAKE RD NE
ROME, GA 30161-2106
Phone number: 706-346-3353
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Mailing Address
STARLA LYNN WADDELL
PO BOX 1102
ROME, GA 30162-1102
Phone number: 706-346-3353
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