LAVERN SHELTON

DECATUR, GA
NPI1891910014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: GA  O.T. 000651307)
Enumeration Date2007-04-14
Last Update Date2007-07-08
Business Address
Ms. LAVERN SHELTON O.T.
2301 WINGFOOT PL
DECATUR, GA 30035-2812
Phone number: 404-298-6404
Mailing Address
Ms. LAVERN SHELTON O.T.
2301 WINGFOOT PL
DECATUR, GA 30035-2812
Phone number: 404-298-6404
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