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1588238075
JACKQUELINE WALKER
LAWRENCEVILLE, GA
NPI
1588238075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN090490)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
JACKQUELINE WALKER LPN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
JACKQUELINE WALKER LPN
130 AVERY DR
COVINGTON, GA 30016-8520
Phone number: 770-203-5915
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