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1013407139
GRACELYN AMBRISTER DENEUS
CANTON, GA
NPI
1013407139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN128736)
Enumeration Date
2018-05-14
Last Update Date
2021-03-16
Business Address
Mrs. GRACELYN AMBRISTER DENEUS FNP
3755 SIXES RD
CANTON, GA 30114-7842
Phone number: 404-395-0890
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Mailing Address
Mrs. GRACELYN AMBRISTER DENEUS FNP
5009 TIWANAKU DR SW
ATLANTA, GA 30331-7999
Phone number: 404-349-0844
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