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1871720003
JOSEPH LAVALLO
FAYETTEVILLE, GA
NPI
1871720003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: GA RN214862)
Enumeration Date
2009-06-15
Last Update Date
2016-04-13
Business Address
JOSEPH LAVALLO NP
1267 HIGHWAY 54 W SUITE 2200
FAYETTEVILLE, GA 30214-2114
Phone number: 770-706-0051
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Mailing Address
JOSEPH LAVALLO NP
1267 HIGHWAY 54 W SUITE 2200
FAYETTEVILLE, GA 30214-2114
Phone number: 770-706-0051
Copy
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