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1891205373
MACKENZIE LURENE MASHBURN GRILLO
DOUGLASVILLE, GA
NPI
1891205373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN191815)
Enumeration Date
2017-10-10
Last Update Date
2017-10-10
Business Address
MACKENZIE LURENE MASHBURN GRILLO NP
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134-2272
Phone number: 678-640-5023
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Mailing Address
MACKENZIE LURENE MASHBURN GRILLO NP
3316 HIGH NOONTIDE WAY NW
ACWORTH, GA 30101-6967
Phone number: 678-640-5023
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