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1134733199
JESTY BOBY
LOGANVILLE, GA
NPI
1134733199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 192978)
Enumeration Date
2020-09-07
Last Update Date
2020-09-07
Business Address
JESTY BOBY FNP-c
751 AUTUMN MEADOW DR
LOGANVILLE, GA 30052-7934
Phone number: 678-982-6728
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Mailing Address
JESTY BOBY FNP-c
751 AUTUMN MEADOW DR
LOGANVILLE, GA 30052-7934
Phone number: 678-982-6728
Copy
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