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KIANNA TYMORIA BOONE

Phlebotomy >> Technician, Pathology >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1063036051

Individual Registrant:
 KIANNA TYMORIA BOONE 
Gender: F
Sole Proprietor

Location and contact information for practice:
608 S LEE ST  FITZGERALD, GA 31750-3217 US
Tel: 229-472-2246  Fax: --

Contact information for business:
608 S LEE ST  FITZGERALD, GA 31750-3217 US
Tel: 229-472-2246  Fax: --

Registration Information:
NPI: 1063036051
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y246RP1900XTechnologists, Technicians & Other Technical Service Providers
Technician, Pathology
Phlebotomy
GA318-10178

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ARTICLE OF ORGANIZATION20070770GA01




HEALTH CARE JOBS GA - Page 1



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