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Individual

MRS. VONDA LYNN FARRAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, NP-C

Contact information

Practice address
1918 DE WINTON PL, LAWRENCEVILLE, GA 30043-5021
(205) 994-1984
(877) 789-3032
Mailing address
1918 DE WINTON PL, LAWRENCEVILLE, GA 30043-5021
(205) 994-1984
(877) 789-3032

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F02180637
GA

Other

Enumeration date
11/14/2018
Last updated
11/14/2018
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