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1639338684
INGA DEMETRIA PAULK- JOHNSON
STATESBORO, GA
NPI
1639338684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN055280)
Enumeration Date
2008-06-05
Last Update Date
2008-06-05
Business Address
-- INGA DEMETRIA PAULK- JOHNSON LPN
115 LEE ST
STATESBORO, GA 30458-2102
Phone number: 912-764-5884
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Mailing Address
-- INGA DEMETRIA PAULK- JOHNSON LPN
115 LEE STREET
STATESBORO, GA 30458
Phone number: 912-764-5884
Copy
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