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Lisa Phommaseng

Non-licensedLicense GA-2021-4322
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Provider Information

First Name
Lisa
Last Name
Phommaseng
License Number
GA-2021-4322
License Prefix
GA
Provider Type
Non-licensed
Status
Not listed
County
Not listed
State
GA
GEMSIS ID
3a5c21aa-1f1a-489e-8dbc-f26f25fdad18

Grade

Grade not yet available.

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