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1760922066
HEATHER LAVENDER
ATHENS, GA
NPI
1760922066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2017-03-06
Last Update Date
2020-10-13
Business Address
HEATHER LAVENDER CSFA
1765 OLD WEST BROAD ST
ATHENS, GA 30606-2853
Phone number: 706-549-1663
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Mailing Address
HEATHER LAVENDER CSFA
1765 OLD WEST BROAD ST BLDG 2-200
ATHENS, GA 30606-2887
Phone number: 706-549-1663
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