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1790128874
HOLLY ALLISON LIGHTKEP
DECATUR, GA
NPI
1790128874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN210453)
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
Mrs. HOLLY ALLISON LIGHTKEP PMHNP-BC
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
Mrs. HOLLY ALLISON LIGHTKEP PMHNP-BC
4903 FIELDING WAY
STONE MOUNTAIN, GA 30088-3952
Phone number: 850-497-3383
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