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1992241962
KEYEARA MONA ALLEN
BUFORD, GA
NPI
1992241962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN093043)
Enumeration Date
2017-01-13
Last Update Date
2017-01-13
Business Address
-- KEYEARA MONA ALLEN LPC
4271 S LEE ST 101 & 102
BUFORD, GA 30518-3710
Phone number: 678-765-8160
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Mailing Address
-- KEYEARA MONA ALLEN LPC
4271 S LEE ST 101 & 102
BUFORD, GA 30518-3710
Phone number: 678-765-8160
Copy
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