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1932756160
CORETTA DIANE STEVENSON
ROME, GA
NPI
1932756160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN072883)
Enumeration Date
2019-08-22
Last Update Date
2019-08-22
Business Address
Ms. CORETTA DIANE STEVENSON
330 TURNER MCCALL BLVD SW
ROME, GA 30165-5630
Phone number: 706-509-3397
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Mailing Address
Ms. CORETTA DIANE STEVENSON
330 TURNER MCCALL BLVD SW
ROME, GA 30165-5630
Phone number: 706-509-3397
Copy
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