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1285103499
GAYNOR POWELL COUCH
JONESBORO, GA
NPI
1285103499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: GA RN239905)
Enumeration Date
2018-11-16
Last Update Date
2023-09-26
Business Address
GAYNOR POWELL COUCH NP
2400 MOUNT ZION PKWY
JONESBORO, GA 30236-2500
Phone number: 678-905-0410
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Mailing Address
GAYNOR POWELL COUCH NP
PO BOX 83232
CONYERS, GA 30013-8017
Phone number: 678-905-0410
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