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1780382010
MYIA CANIDATE
SMYRNA, GA
NPI
1780382010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA 098133)
Enumeration Date
2023-02-16
Last Update Date
2023-02-16
Business Address
MYIA CANIDATE LPN
1001 VININGS TRL SE # 1001
SMYRNA, GA 30080-8638
Phone number: 678-933-9367
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Mailing Address
MYIA CANIDATE LPN
650 PONCE DE LEON AVE NE STE 300
ATLANTA, GA 30308-1864
Phone number: 678-933-9367
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