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Organization

BLUDBORN LABS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA DARDEN-RIVERS CPT (CEO)
(912) 202-6179
Entity
Organization

Contact information

Practice address
258 W WALNUT ST, JESUP, GA 31545-1331
(912) 202-6179
Mailing address
258 W WALNUT ST, JESUP, GA 31545-1331
(912) 202-6179

Taxonomy

Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
246RP1900X
Phlebotomy Technician

Other

Enumeration date
04/10/2023
Last updated
04/10/2023
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