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1508396755
JESSICA FUENTES
NEWNAN, GA
NPI
1508396755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F06170504)
Enumeration Date
2017-06-19
Last Update Date
2017-06-19
Business Address
JESSICA FUENTES
745 POPLAR RD
NEWNAN, GA 30265-1618
Phone number: 770-400-1000
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Mailing Address
JESSICA FUENTES
1505 16TH AVE
COLUMBUS, GA 31901-2083
Phone number:
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