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Individual

DEBORAH F YATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
118 PLEASANT RIDGE RD, CARROLLTON, GA 30117-9329
(770) 836-1814
(770) 830-1659
Mailing address
118 PLEASANT RIDGE RD, CARROLLTON, GA 30117-9329
(678) 313-9216

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN023044
GA

Other

Enumeration date
01/05/2016
Last updated
01/05/2016
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