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Individual

MRS. LYNDA GARNER OLLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2899 NEWBERRY WAY NW, KENNESAW, GA 30144-6071
(678) 290-8648
Mailing address
2899 NEWBERRY WAY NW, KENNESAW, GA 30144-6071
(678) 290-8648

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/29/2012
Last updated
05/29/2012
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