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1144863051
ELISHIA KATHLEEN CRUMWELL-MACK
LAWRENCEVILLE, GA
NPI
1144863051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN302384)
Enumeration Date
2019-10-23
Last Update Date
2022-06-03
Business Address
ELISHIA KATHLEEN CRUMWELL-MACK
301 PHILIP BLVD STE A
LAWRENCEVILLE, GA 30046-8746
Phone number: 770-822-5560
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Mailing Address
ELISHIA KATHLEEN CRUMWELL-MACK
301 PHILIP BLVD STE A
LAWRENCEVILLE, GA 30046-8746
Phone number: 770-822-5560
Copy
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