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1679136535
KAITLIN BOMAR
DALLAS, GA
NPI
1679136535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN272355)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
KAITLIN BOMAR NP-C
215 HART CIR
DALLAS, GA 30132-3703
Phone number: 770-827-5487
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Mailing Address
KAITLIN BOMAR NP-C
215 HART CIR
DALLAS, GA 30132-3703
Phone number: 770-827-5487
Copy
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