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1578937702
KRYSTAL TANNER
DUBLIN, GA
NPI
1578937702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN203622)
Enumeration Date
2015-11-27
Last Update Date
2015-11-27
Business Address
-- KRYSTAL TANNER NP
200 INDUSTRIAL BLVD
DUBLIN, GA 31021-2981
Phone number: 478-274-3865
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Mailing Address
-- KRYSTAL TANNER NP
391 UNION HILL CHURCH RD
WRIGHTSVILLE, GA 31096-4737
Phone number: 478-278-4643
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