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1245847987
CASEY PRIDGEON
HIRAM, GA
NPI
1245847987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 261957)
Enumeration Date
2020-09-27
Last Update Date
2020-09-27
Business Address
CASEY PRIDGEON
316 RICHARDS WAY
HIRAM, GA 30141-5193
Phone number: 305-924-6601
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Mailing Address
CASEY PRIDGEON
316 RICHARDS WAY
HIRAM, GA 30141-5193
Phone number:
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