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1013426675
ASHLEY LYDIA MULLICAN
LAWRENCEVILLE, GA
NPI
1013426675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F06171471)
Enumeration Date
2017-09-27
Last Update Date
2018-11-06
Business Address
ASHLEY LYDIA MULLICAN APRN, NP-C
1925 OLD PEACHTREE RD NE
LAWRENCEVILLE, GA 30043-2822
Phone number: 770-339-5999
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Mailing Address
ASHLEY LYDIA MULLICAN APRN, NP-C
136 RIVER MIST CIR
JEFFERSON, GA 30549-8621
Phone number: 770-540-8304
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