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1144334095
KELLY MICHELLE JACCHIA
CUMMING, GA
NPI
1144334095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN138990)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Mrs. KELLY MICHELLE JACCHIA CPNP
110 N CORNERS PKWY STE 100
CUMMING, GA 30040-2077
Phone number: 770-888-2882
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Mailing Address
Mrs. KELLY MICHELLE JACCHIA CPNP
3160 ROCKY BROOK DR
ALPHARETTA, GA 30005-8303
Phone number:
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