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1588441976
DIAMOND POUNCIL
MACON, GA
NPI
1588441976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN323478)
Enumeration Date
2023-09-11
Last Update Date
2023-10-24
Business Address
DIAMOND POUNCIL NP
1425 GEORGIA AVE
MACON, GA 31201-6546
Phone number: 478-250-1325
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Mailing Address
DIAMOND POUNCIL NP
1425 GEORGIA AVE STE 201A
MACON, GA 31201-6546
Phone number: 478-234-5767
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