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1811436934
LA RAVEN RAMBO
ATLANTA, GA
NPI
1811436934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN076753)
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
-- LA RAVEN RAMBO LPN
95 HOWELL DR SW
ATLANTA, GA 30331-4020
Phone number: 404-449-8544
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Mailing Address
-- LA RAVEN RAMBO LPN
PO BOX 92141
ATLANTA, GA 30314-0141
Phone number: 404-449-8544
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