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1003080524
QIUPING A PAN
DUBLIN, GA
NPI
1003080524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 65409)
Enumeration Date
2008-04-15
Last Update Date
2012-02-20
Business Address
-- QIUPING A PAN
1826 VETERAN BLVD
DUBLIN, GA 31021
Phone number: 478-272-1210
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Mailing Address
-- QIUPING A PAN
3245 FLOWERS RD S APT V
ATLANTA, GA 30341-5680
Phone number: 770-457-6043
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