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Individual

WANDA HILL HOWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
616 GOVERNMENT CENTER WAY, EVANS, GA 30809-7604
(706) 868-3330
Mailing address
678 OLD WASHINGTON RD, THOMSON, GA 30824-4008
(706) 361-8977

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN058723
GA

Other

Enumeration date
08/04/2008
Last updated
08/04/2008
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