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1912617770
JEWEL Y WALTON
DECATUR, GA
NPI
1912617770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN066612)
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
JEWEL Y WALTON
315 WINN WAY
DECATUR, GA 30030-2111
Phone number: 678-772-7377
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Mailing Address
JEWEL Y WALTON
315 WINN WAY
DECATUR, GA 30030-2111
Phone number: 678-772-7377
Copy
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