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Individual

MR. HAZEL SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
2208 WILDCAT CLIFFS LN, LAWRENCEVILLE, GA 30043-2964
(404) 429-3216
Mailing address
2208 WILDCAT CLIFFS LN, LAWRENCEVILLE, GA 30043-2964
(404) 429-3216

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
157236
GA

Other

Enumeration date
11/24/2015
Last updated
11/24/2015
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