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1326800624
CORDELIA JOHNBULL
DACULA, GA
NPI
1326800624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA 216662)
Enumeration Date
2024-01-23
Last Update Date
2024-01-23
Business Address
CORDELIA JOHNBULL PMHNP
2983 AMAABILE RD
DACULA, GA 30019-5447
Phone number: 770-875-1182
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Mailing Address
CORDELIA JOHNBULL PMHNP
2983 AMAABILE RD
DACULA, GA 30019-5447
Phone number: 770-875-1182
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