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MRS. SHIRLENE DEMETRA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2545 SANDRA DR, AUGUSTA, GA 30906-2843
(706) 792-0880
Mailing address
2545 SANDRA DR, AUGUSTA, GA 30906-2843

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN049721
GA

Other

Enumeration date
03/29/2008
Last updated
03/29/2008
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