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Individual

WELTHALYN BOGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 EVANS MILL DR, DALLAS, GA 30157-1622
(770) 435-2555
Mailing address
5755 GLENRIDGE DR UNIT 129, ATLANTA, GA 30328-5552
(404) 576-3895

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030089772
GA

Other

Enumeration date
12/04/2023
Last updated
12/04/2023
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