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1922770791
LA'TRAVEIN SAPP
DECATUR, GA
NPI
1922770791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA 296536)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
LA'TRAVEIN SAPP RN
798 GROVE BND
DECATUR, GA 30030-2706
Phone number: 404-983-6393
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Mailing Address
LA'TRAVEIN SAPP RN
798 GROVE BND
DECATUR, GA 30030-2706
Phone number: 404-983-6393
Copy
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