JERRELL FANG

GAINESVILLE, GA
NPI1134979263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-22
Last Update Date2024-03-22
Business Address
JERRELL FANG
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-219-9000
Mailing Address
JERRELL FANG
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501-3715
Phone number: 770-219-8730
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