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1568296812
JACK YANCEY LAGRONE
ATHENS, GA
NPI
1568296812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN289726)
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
JACK YANCEY LAGRONE
250 BRAY ST
ATHENS, GA 30601-2203
Phone number: 706-389-6789
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Mailing Address
JACK YANCEY LAGRONE
744 BARBER ST
ATHENS, GA 30601-2028
Phone number: 864-377-5067
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