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1477296366
JACKIE MARYLINE BASSONG
ATLANTA, GA
NPI
1477296366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA RN279714)
Enumeration Date
2022-04-18
Last Update Date
2023-12-22
Business Address
JACKIE MARYLINE BASSONG FNP-C, FNP-BC
8 PERIMETER CTR E APT 1414
ATLANTA, GA 30346-1676
Phone number: 770-628-2500
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Mailing Address
JACKIE MARYLINE BASSONG FNP-C, FNP-BC
170 DUNAGAN DR
LAWRENCEVILLE, GA 30045-9017
Phone number:
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