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Individual

KAREN E BOULLAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2900 DELK RD SE, SUITE 700 #166, MARIETTA, GA 30067-5320
(678) 640-7536
Mailing address
2900 DELK RD SE, SUITE 700 PMB 166, MARIETTA, GA 30067-5320
(678) 640-7536
(770) 492-2935

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN063260
GA

Other

Enumeration date
01/09/2006
Last updated
01/27/2020
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