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1295272532
CRYSTAL MARIE BRANCH
DOUGLASVILLE, GA
NPI
1295272532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN250544)
Enumeration Date
2017-01-25
Last Update Date
2018-06-14
Business Address
CRYSTAL MARIE BRANCH FNP-BC
9465 HIGHWAY 5
DOUGLASVILLE, GA 30135
Phone number: 678-732-1513
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Mailing Address
CRYSTAL MARIE BRANCH FNP-BC
2727 PACES FERRY RD SE STE 1-1100
ATLANTA, GA 30339-6151
Phone number: 678-732-1513
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