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1912942046
JENNIFER SUE DE LA CRUZ
DECATUR, GA
NPI
1912942046
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Former Name
JENNIFER MOORFIELD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003777)
Enumeration Date
2006-06-20
Last Update Date
2021-06-09
Business Address
JENNIFER SUE DE LA CRUZ PA-C
2701 N. DECATUR ROAD
DECATUR, GA 30033
Phone number: 404-501-1849
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Mailing Address
JENNIFER SUE DE LA CRUZ PA-C
1990 LAKESIDE PKWY STE 170
TUCKER, GA 30084-5884
Phone number: 770-938-1757
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