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1770119695
CRYSTAL WYLENA RAYTON
BUFORD, GA
NPI
1770119695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN087149)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
CRYSTAL WYLENA RAYTON LPN
4271 S LEE ST # 101102
BUFORD, GA 30518-3710
Phone number: 678-765-8160
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Mailing Address
CRYSTAL WYLENA RAYTON LPN
4271 S LEE ST STE 101&102
BUFORD, GA 30518-3710
Phone number: 678-765-8160
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