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1770050080
GUSSIE BACCUS
COVINGTON, GA
NPI
1770050080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: GA RN111211)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
Ms. GUSSIE BACCUS RN
115 WELLINGTON TRL
COVINGTON, GA 30016-8629
Phone number: 404-645-9283
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Mailing Address
Ms. GUSSIE BACCUS RN
115 WELLINGTON TRL
COVINGTON, GA 30016-8629
Phone number: 404-645-9283
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