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Alexis Imanivong

Non-licensedLicense GA-2025-4570
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Provider Information

First Name
Alexis
Last Name
Imanivong
License Number
GA-2025-4570
License Prefix
GA
Provider Type
Non-licensed
Status
Not listed
County
Not listed
State
GA
GEMSIS ID
822010be-9ebf-4baf-b746-df96d8daf112

Grade

Grade not yet available.
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