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1598156408
MELISSA FAGAN
CONYERS, GA
NPI
1598156408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN210303)
Enumeration Date
2015-02-13
Last Update Date
2015-02-13
Business Address
-- MELISSA FAGAN
2215 EXCHANGE PL SE
CONYERS, GA 30013-6723
Phone number: 770-922-3522
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Mailing Address
-- MELISSA FAGAN
2215 EXCHANGE PL SE
CONYERS, GA 30013-6723
Phone number: 770-922-3522
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