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1649614017
MIRIAM THOMPSON
STONE MOUNTAIN, GA
NPI
1649614017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN061603)
Enumeration Date
2013-04-29
Last Update Date
2013-04-29
Business Address
-- MIRIAM THOMPSON LPN
5353 BRIDGEWATER TRCE
STONE MOUNTAIN, GA 30088-3345
Phone number: 770-873-3185
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Mailing Address
-- MIRIAM THOMPSON LPN
5353 BRIDGEWATER TRCE
STONE MOUNTAIN, GA 30088-3345
Phone number: 770-873-3185
Copy
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