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1811379332
TRACY LYNN BENNETT
SNELLVILLE, GA
NPI
1811379332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN146400)
Enumeration Date
2015-06-20
Last Update Date
2015-06-20
Business Address
-- TRACY LYNN BENNETT Nurse Practitioner
3281 KESSOCK RIDGE TRL
SNELLVILLE, GA 30039-3112
Phone number: 678-986-3315
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Mailing Address
-- TRACY LYNN BENNETT Nurse Practitioner
3281 KESSOCK RIDGE TRL
SNELLVILLE, GA 30039-3112
Phone number: 678-986-3315
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