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Organization
ESSENTIAL LACTATION SUPPORT
Active
Organization
ESSENTIAL LACTATION SUPPORT
Active
Other names
Essential Lactation Support
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLE LYNN CUTRONE BS, IBCLC (IBCLC)
(470) 285-4772
Entity
Organization
Contact information
Practice address
3635 AZURITE ST, CUMMING, GA 30040-6096
(470) 285-4772
Mailing address
3635 AZURITE ST, CUMMING, GA 30040-6096
(470) 285-4772
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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