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PAMELA EDGEMAN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1609274000

Individual Registrant:
 PAMELA  EDGEMAN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
501 MIZE ST  LA FAYETTE, GA 30728-3346 US
Tel: 706-806-1222  Fax: --

Contact information for business:
501 MIZE ST  LA FAYETTE, GA 30728-3346 US
Tel: --  Fax: --

Registration Information:
NPI: 1609274000
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
GA072205

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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