LEASA LASAE BLACKMON

ATHENS, GA
NPI1689420424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: GA  221219)
Enumeration Date2024-04-24
Last Update Date2024-04-24
Business Address
LEASA LASAE BLACKMON RN
240 MITCHELL BRIDGE RD
ATHENS, GA 30606-2043
Phone number: 770-910-9196
Mailing Address
LEASA LASAE BLACKMON RN
PO BOX 490182
LAWRENCEVILLE, GA 30049-0004
Phone number: 470-232-5119
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