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1710252135
LYDIA SURRENCY EVANS
VALDOSTA, GA
NPI
1710252135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP007735)
Enumeration Date
2012-03-19
Last Update Date
2012-03-19
Business Address
-- LYDIA SURRENCY EVANS
3801 SCHROER RD
VALDOSTA, GA 31605-7013
Phone number: 229-244-3552
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Mailing Address
-- LYDIA SURRENCY EVANS
3801 SCHROER RD
VALDOSTA, GA 31605-7013
Phone number: 229-244-3552
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