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IRECIA CRYSTAL FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
9112 JUNIPER LN, MACON, GA 31220-7673
(478) 365-1298
Mailing address
9112 JUNIPER LN, MACON, GA 31220-7673
(478) 365-1298

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN085909
GA

Other

Enumeration date
12/15/2014
Last updated
12/15/2014
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