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1316753254
JACQUELINE LYDIA DIFELICE
MARIETTA, GA
NPI
1316753254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 12643)
Enumeration Date
2024-12-05
Last Update Date
2024-12-05
Business Address
JACQUELINE LYDIA DIFELICE PA-C
61 WHITCHER ST NE STE 1100
MARIETTA, GA 30060-1177
Phone number: 770-422-3290
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Mailing Address
JACQUELINE LYDIA DIFELICE PA-C
61 WHITCHER ST NE STE 1100
MARIETTA, GA 30060-1177
Phone number: 770-422-3290
Copy
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