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1962007302
JOVANDA E BOLDEN
AUGUSTA, GA
NPI
1962007302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: GA Y5R8R4S7)
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
Mrs. JOVANDA E BOLDEN
310 GREENE ST
AUGUSTA, GA 30901-1619
Phone number: 678-508-0202
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Mailing Address
Mrs. JOVANDA E BOLDEN
310 GREENE ST
AUGUSTA, GA 30901-1619
Phone number: 678-508-0202
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