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Individual

LAUREL KEY TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
285 GLYNN ST S STE 104, FAYETTEVILLE, GA 30214-2015
(678) 206-9891
Mailing address
285 GLYNN ST S, FAYETTEVILLE, GA 30214-2015
(678) 206-9891

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary

Other

Enumeration date
12/17/2019
Last updated
12/17/2019
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