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1720536824
WAYNE COLLYMORE
DECATUR, GA
NPI
1720536824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN184735)
Enumeration Date
2016-09-17
Last Update Date
2016-09-17
Business Address
-- WAYNE COLLYMORE
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-294-3836
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Mailing Address
-- WAYNE COLLYMORE
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-294-3836
Copy
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