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1992070528
STACEY CANDIDA WOODY
DOUGLASVILLE, GA
NPI
1992070528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: GA cn0028905614)
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
-- STACEY CANDIDA WOODY cna
3302 VILLA LN
DOUGLASVILLE, GA 30135
Phone number: 678-646-1468
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Mailing Address
-- STACEY CANDIDA WOODY cna
3302 VILLA LN
DOUGLASVILLE, GA 30135-2832
Phone number: 678-646-1468
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