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1104597210
JESSICA KATHERINE VERNON
FAYETTEVILLE, GA
NPI
1104597210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: GA 10526)
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
JESSICA KATHERINE VERNON PA-C
1275 HIGHWAY 54 W STE 201
FAYETTEVILLE, GA 30214-4538
Phone number: 770-461-3774
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Mailing Address
JESSICA KATHERINE VERNON PA-C
245 HIGHVIEW TRCE
FAYETTEVILLE, GA 30215-2384
Phone number: 678-471-7965
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