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1639499007
JACKIE HARMON
AUSTELL, GA
NPI
1639499007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN075610)
Enumeration Date
2010-06-08
Last Update Date
2010-07-08
Business Address
-- JACKIE HARMON
1810 MULKEY RD SUITE 105
AUSTELL, GA 30106-1151
Phone number: 770-944-0686
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Mailing Address
-- JACKIE HARMON
1810 MULKEY RD SUITE 105
AUSTELL, GA 30106-1151
Phone number: 770-944-0686
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