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GAYLE ANNE OWEN RN IBCLC LC

Lactation Consultant >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1114533387

Individual Registrant:
 GAYLE ANNE OWEN RN IBCLC LC
Gender: F
Sole Proprietor

Location and contact information for practice:
596 BANKSTOWN RD  BROOKS, GA 30205-2219 US
Tel: 770-856-0890  Fax: --

Contact information for business:
596 BANKSTOWN RD  BROOKS, GA 30205-2219 US
Tel: 770-856-0890  Fax: --

Registration Information:
NPI: 1114533387
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WL0100XNursing Service Providers
Registered Nurse
Lactation Consultant
GA077331

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LACTATION28744GA01




HEALTH CARE JOBS GA - Page 1



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