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1306225057
YOUNG DREADEN
JACKSON, GA
NPI
1306225057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA rn 109306 np)
Enumeration Date
2015-05-28
Last Update Date
2015-05-28
Business Address
-- YOUNG DREADEN np
2978 HWY 36W
JACKSON, GA 30233
Phone number: 770-504-2112
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Mailing Address
-- YOUNG DREADEN np
GDCP,P.O.BOX 3877
JACKSON, GA 30233
Phone number: 770-504-2112
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