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1376930404
MARY ROSE LOCKE
AUSTELL, GA
NPI
1376930404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN198225)
Enumeration Date
2015-04-15
Last Update Date
2022-01-20
Business Address
Mrs. MARY ROSE LOCKE
1620 MULKEY RD STE 100
AUSTELL, GA 30106-1171
Phone number: 770-953-3331
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Mailing Address
Mrs. MARY ROSE LOCKE
8200 ROBERTS DR STE 450
SANDY SPRINGS, GA 30350-4115
Phone number: 770-485-3723
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