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1609387463
KIMBERLY CANDECE DOUGLAS
LAWRENCEVILLE, GA
NPI
1609387463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: GA RN225188)
Enumeration Date
2017-10-19
Last Update Date
2017-10-19
Business Address
Ms. KIMBERLY CANDECE DOUGLAS RN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
Ms. KIMBERLY CANDECE DOUGLAS RN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Copy
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