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1073152963
ALLISAN FAYE MEADOWS
DACULA, GA
NPI
1073152963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN112983)
Enumeration Date
2019-12-25
Last Update Date
2019-12-25
Business Address
ALLISAN FAYE MEADOWS FPN-BC
465 DACULA RD STE I
DACULA, GA 30019-2171
Phone number: 770-822-1922
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Mailing Address
ALLISAN FAYE MEADOWS FPN-BC
465 DACULA RD STE I
DACULA, GA 30019-2171
Phone number: 770-822-1922
Copy
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