MYRNA GACUSAN

JONESBORO, GA
NPI1174976088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  151283)
Enumeration Date2016-07-14
Last Update Date2016-07-14
Business Address
MYRNA GACUSAN
6911 TARA BLVD
JONESBORO, GA 30236-1503
Phone number: 770-477-8573
Mailing Address
MYRNA GACUSAN
4395 ABBOTTS POINTE CT
DULUTH, GA 30097-2199
Phone number:
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