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1659758985
CLAYTON STATE UNIVERSITY
MORROW, GA
NPI
1659758985
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Entity Type
Organization
Authorized Contact
BETTY SUSAN LANE
Chair Nursing
678-466-4953
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2015-05-06
Last Update Date
2015-12-04
Business Address
CLAYTON STATE UNIVERSITY
5809 NORTHLAKE DRIVE BLDG 1000
MORROW, GA 30260
Phone number: 678-466-5590
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Mailing Address
CLAYTON STATE UNIVERSITY
2000 CLAYTON STATE BLVD
MORROW, GA 30260
Phone number:
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