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Individual

LASHONNE HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
926 MCDUFFIE CIR, DOUGLASVILLE, GA 30134-3763
(585) 261-8191
Mailing address
926 MCDUFFIE CIR, DOUGLASVILLE, GA 30134-3763
(585) 261-8191

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
100094
GA
164W00000X
Licensed Practical Nurse
Primary
241511-1
NY

Other

Enumeration date
08/17/2021
Last updated
08/17/2021
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