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1396201885
DOMINIQUE K BETHEA
LAWRENCEVILLE, GA
NPI
1396201885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN281107)
Enumeration Date
2019-02-20
Last Update Date
2023-04-13
Business Address
DOMINIQUE K BETHEA NP
771 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046-4980
Phone number: 770-339-1387
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Mailing Address
DOMINIQUE K BETHEA NP
771 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046-4980
Phone number: 770-339-1387
Copy
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