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1164772372
JUSTIN MARCUS FENDER
DOUGLAS, GA
NPI
1164772372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN 194077)
Enumeration Date
2012-09-14
Last Update Date
2016-12-02
Business Address
Mr. JUSTIN MARCUS FENDER R-NP
1400 PETERSON AVE N SUITE C
DOUGLAS, GA 31533-2832
Phone number: 912-384-4000
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Mailing Address
Mr. JUSTIN MARCUS FENDER R-NP
102 NW BOWENS MILL ROAD
DOUGLAS, GA 31533-2252
Phone number: 912-384-3838
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