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Individual

DECHEYLA ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
265 PLANTATION RD, FAYETTEVILLE, GA 30214-3909
(574) 485-9898
Mailing address
265 PLANTATION RD, FAYETTEVILLE, GA 30214-3909
(574) 485-9898

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN100734
GA
171400000X
Health & Wellness Coach
374J00000X
Doula

Other

Enumeration date
11/15/2022
Last updated
11/15/2022
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