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Individual

KATHAN B LABRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4837
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4837

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN251076
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000606317B
GA
Enumeration date
04/16/2021
Last updated
04/16/2021
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