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1730787870
SHANNA ANITA DAVIS
SUWANEE, GA
NPI
1730787870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN067089)
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
SHANNA ANITA DAVIS LPN
2855 LAWRENCEVILLE SUWANEE RD STE 310-330
SUWANEE, GA 30024-3563
Phone number: 770-904-3955
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Mailing Address
SHANNA ANITA DAVIS LPN
2855 LAWRENCEVILLE SUWANEE RD STE 310-330
SUWANEE, GA 30024-3563
Phone number:
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