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Individual

DEANNA MAULDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
133 FORSYTH ST STE 3, BARNESVILLE, GA 30204-1458
(770) 358-8632
(770) 358-5200
Mailing address
133 FORSYTH ST STE 3, BARNESVILLE, GA 30204-1458
(770) 358-8632
(770) 358-5200

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN050223
GA

Other

Enumeration date
06/12/2019
Last updated
06/12/2019
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