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1225088438
NICKOLA FANCINE BOOKER
GAINESVILLE, GA
NPI
1225088438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 004733)
Enumeration Date
2006-05-10
Last Update Date
2020-12-07
Business Address
NICKOLA FANCINE BOOKER PA-C
2324 LIMESTONE OVERLOOK
GAINESVILLE, GA 30501-7443
Phone number: 770-536-8109
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Mailing Address
NICKOLA FANCINE BOOKER PA-C
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420
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