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1396580643
KAYLA JUSTINE STAFFORD
CANTON, GA
NPI
1396580643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN267058)
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
Miss KAYLA JUSTINE STAFFORD FNP-C
3422 SIXES RD STE 102
CANTON, GA 30114-9120
Phone number: 943-202-7670
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Mailing Address
Miss KAYLA JUSTINE STAFFORD FNP-C
388 4TH ST NE
ATLANTA, GA 30308-2005
Phone number: 317-600-8717
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