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Individual

MR. VICTOR CHOICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
2084 ROBIN CIR, MILLEDGEVILLE, GA 31061-2057
(478) 414-8300
Mailing address
2084 ROBIN CIR, MILLEDGEVILLE, GA 31061-2057
(478) 414-8300

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN070531
GA

Other

Enumeration date
11/02/2016
Last updated
11/02/2016
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