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1295219939
JENNIFER DOROUGH
MACON, GA
NPI
1295219939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN200221)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
JENNIFER DOROUGH NP
400 CHARTER BLVD
MACON, GA 31210-4831
Phone number: 478-757-8200
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Mailing Address
JENNIFER DOROUGH NP
4806 GUERRY DR
MACON, GA 31210-4104
Phone number: 478-320-3480
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