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1609482140
ANTRONETTE DARRELL
CONYERS, GA
NPI
1609482140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN084209)
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
ANTRONETTE DARRELL LPN
1578 CHERRY HILL RD SW
CONYERS, GA 30094-6835
Phone number: 716-465-1797
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Mailing Address
ANTRONETTE DARRELL LPN
1578 CHERRY HILL RD SW
CONYERS, GA 30094-6835
Phone number: 716-465-1797
Copy
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