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PATRICIA STAPLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3251 RONDELAY DR, LITHONIA, GA 30038-2648
(678) 755-4836
Mailing address
3251 RONDELAY DR, LITHONIA, GA 30038-2648
(678) 755-4836

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000011347
GA

Other

Enumeration date
09/11/2010
Last updated
09/11/2010
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