Individual
MISS ROBIN LYNN BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., PP
Contact information
Practice address
5167 WARNER ST, FOREST PARK, GA 30297-3938
(404) 859-0011
Mailing address
5167 WARNER ST, FOREST PARK, GA 30297-3938
(404) 859-0011
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
055194398
GA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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