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1720719263
NICOLE SHANLEY
LAWRENCEVILLE, GA
NPI
1720719263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: GA 2923288)
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
NICOLE SHANLEY
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
NICOLE SHANLEY
6264 SHOREVIEW CIR
FLOWERY BRANCH, GA 30542-7604
Phone number: 515-343-7919
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