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1821668997
PATRICE ELLISON
STATESBORO, GA
NPI
1821668997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN061995)
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
PATRICE ELLISON LPN
207 INSTITUTE ST
STATESBORO, GA 30458-0920
Phone number: 912-678-6713
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Mailing Address
PATRICE ELLISON LPN
207 INSTITUTE ST
STATESBORO, GA 30458-0920
Phone number: 912-678-6713
Copy
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