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Individual

CHRISTAL LATRICE CALLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1995 MATT DR, AUSTELL, GA 30168-4330
(404) 219-2869
Mailing address
1995 MATT DR, AUSTELL, GA 30168-4330

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN084892
GA

Other

Enumeration date
09/15/2020
Last updated
09/15/2020
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