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Individual

YOLANDA THERESE BOOKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2021 SWEET BAY DR, VILLA RICA, GA 30180-5866
(716) 228-1979
(770) 459-7912
Mailing address
2021 SWEET BAY DR, VILLA RICA, GA 30180-5866
(716) 228-1979
(770) 459-7912

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN078812
GA

Other

Enumeration date
03/19/2009
Last updated
03/19/2009
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