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1194369587
LORI PULLIAM
CANTON, GA
NPI
1194369587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN215924)
Enumeration Date
2019-10-30
Last Update Date
2019-10-30
Business Address
LORI PULLIAM FNP
470 NORTHSIDE CHEROKEE BLVD STE 250
CANTON, GA 30115-8015
Phone number: 404-459-1838
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Mailing Address
LORI PULLIAM FNP
1490 OAKDALE RD
CANTON, GA 30114-4506
Phone number:
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