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Individual

MICHELLE TRINETTE ABNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Mailing address
1815 SUSAN LN, COLUMBUS, GA 31907-4250
(229) 308-6723

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN089399
GA

Other

Enumeration date
08/08/2019
Last updated
08/08/2019
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