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1073663167
KIMBERLY DENISE PEGUES
LOGANVILLE, GA
NPI
1073663167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN127796)
Enumeration Date
2007-01-11
Last Update Date
2020-06-15
Business Address
Mrs. KIMBERLY DENISE PEGUES FNP-c
3869 HIGHWAY 81
LOGANVILLE, GA 30052-3918
Phone number: 678-635-8650
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Mailing Address
Mrs. KIMBERLY DENISE PEGUES FNP-c
1500 WHEAT GRASS WAY
GRAYSON, GA 30017-4138
Phone number: 678-362-0570
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