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1205834009
GRADY ELMORE
ATHENS, GA
NPI
1205834009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN129091NP)
Enumeration Date
2005-07-14
Last Update Date
2007-07-08
Business Address
-- GRADY ELMORE N.P.
120 TRINITY PL
ATHENS, GA 30607-2100
Phone number: 706-543-2718
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Mailing Address
-- GRADY ELMORE N.P.
120 TRINITY PL
ATHENS, GA 30607-2100
Phone number: 706-543-2718
Copy
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