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1578230033
NATACHA DESTRA
RIVERDALE, GA
NPI
1578230033
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Former Name
NATACHA SAGET
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN080370)
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
NATACHA DESTRA LPN
227 MEDICAL WAY
RIVERDALE, GA 30274
Phone number: 470-298-7236
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Mailing Address
NATACHA DESTRA LPN
10019 REISTERSTOWN RD FL 3
OWINGS MILLS, MD 21117-3902
Phone number:
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