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Individual

TOMEKA KHAALIQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3581 MAIN ST, COLLEGE PARK, GA 30337-2623
(678) 937-6659
(678) 550-9581
Mailing address
3581 MAIN ST, COLLEGE PARK, GA 30337-2623
(678) 937-6659
(678) 550-9581

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN084206
GA

Other

Enumeration date
04/22/2021
Last updated
04/22/2021
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