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1063903615
DOMINIQUE L BAILEY
GRIFFIN, GA
NPI
1063903615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN227795)
Enumeration Date
2018-05-18
Last Update Date
2019-02-21
Business Address
DOMINIQUE L BAILEY FNP-C
604A S 8TH ST
GRIFFIN, GA 30224-4214
Phone number: 770-227-1999
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Mailing Address
DOMINIQUE L BAILEY FNP-C
863 FLAT SHOALS RD SE STE 145
CONYERS, GA 30094-6633
Phone number:
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