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GLENDA LYNITA EVERSON

>> Contractor >> Other Service Providers

Registrant NPI Number: 1013573955

Individual Registrant:
 GLENDA LYNITA EVERSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
317 E HOBSON ST  SYLVESTER, GA 31791-3812 US
Tel: 229-272-2284  Fax: --

Contact information for business:
317 E HOBSON ST  SYLVESTER, GA 31791-3812 US
Tel: 229-272-2284  Fax: --

Registration Information:
NPI: 1013573955
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171W00000XOther Service Providers
Contractor
GA054361664

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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