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1023565199
DEREK AUSTIN DUBOIS
MARIETTA, GA
NPI
1023565199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN217341)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
DEREK AUSTIN DUBOIS NP
300 TOWER RD NE SUITE 200
MARIETTA, GA 30060-9404
Phone number: 770-427-5717
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Mailing Address
DEREK AUSTIN DUBOIS NP
300 TOWER RD NE SUITE 200
MARIETTA, GA 30060-9404
Phone number: 770-427-5717
Copy
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