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DEBRAYDA GIOVANNI BRYANT LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1285787580

Individual Registrant:
 DEBRAYDA GIOVANNI BRYANT LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
6420 POLLARDS POND RD  APPLING, GA 30802-3726 US
Tel: 706-868-3330  Fax: 706-868-3336

Contact information for business:
3317 GORDON HWY  GROVETOWN, GA 30813-3540 US
Tel: --  Fax: --

Registration Information:
NPI: 1285787580
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
GALPN 067834

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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