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1407400260
SIBILLA KAY BLAIR
DALLAS, GA
NPI
1407400260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN119126)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
SIBILLA KAY BLAIR FNP-C
49 HOSIERY MILL RD STE 124
DALLAS, GA 30157-1688
Phone number: 770-443-6111
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Mailing Address
SIBILLA KAY BLAIR FNP-C
269 SHOCKLEY WAY
DALLAS, GA 30157-8972
Phone number: 770-617-2984
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