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1275972978
ANDREA ELAINE RICKETTS
LAWRENCEVILLE, GA
NPI
1275972978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 119715)
Enumeration Date
2013-06-17
Last Update Date
2019-10-31
Business Address
ANDREA ELAINE RICKETTS NP
2000 RIVERSIDE PKWY STE 107
LAWRENCEVILLE, GA 30043-5926
Phone number: 404-405-2321
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Mailing Address
ANDREA ELAINE RICKETTS NP
2000 RIVERSIDE PKWY STE 107
LAWRENCEVILLE, GA 30043-5926
Phone number: 404-405-2321
Copy
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