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Individual

LILLIE SPRUILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
215 STAPLER CT SW, ATLANTA, GA 30331
(240) 441-2939
Mailing address
215 STAPLER CT SW, ATLANTA, GA 30331

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN183729
GA

Other

Enumeration date
11/23/2015
Last updated
11/23/2015
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