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1104852078
MICHELLE LEE DUPONT
FAYETTEVILLE, GA
NPI
1104852078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003062)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
MS. MICHELLE LEE DUPONT PA-C
1265 HIGHWAY 54 W SUITE 304
FAYETTEVILLE, GA 30214-4548
Phone number: 678-817-4390
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Mailing Address
MS. MICHELLE LEE DUPONT PA-C
845 CINDERELLA CT
DECATUR, GA 30033-5811
Phone number: 770-474-7416
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