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1063419216
JUDITH T CHABOT
CONYERS, GA
NPI
1063419216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F0803368)
Enumeration Date
2005-07-01
Last Update Date
2010-03-11
Business Address
Ms. JUDITH T CHABOT FNP-C
425 SIGMAN RD NW SUITE 109
CONYERS, GA 30012-3635
Phone number: 678-413-2026
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Mailing Address
Ms. JUDITH T CHABOT FNP-C
2062 LAKE SORRENTO DR
CONYERS, GA 30012-2739
Phone number: 770-484-5423
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