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LYDIA LEE KINGRY

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1780221283

Individual Registrant:
 LYDIA LEE KINGRY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3490 DENHAM RD  SYCAMORE, GA 31790-3306 US
Tel: 229-392-4976  Fax: --

Contact information for business:
3490 DENHAM RD  SYCAMORE, GA 31790-3306 US
Tel: 229-392-4976  Fax: --

Registration Information:
NPI: 1780221283
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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