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1922447002
PATRICIA SUE KIPPER
NEWNAN, GA
NPI
1922447002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: MO 2013-018220)
Enumeration Date
2013-06-21
Last Update Date
2025-01-16
Business Address
PATRICIA SUE KIPPER AA-C
745 POPLAR RD
NEWNAN, GA 30265-1618
Phone number: 770-400-1000
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Mailing Address
PATRICIA SUE KIPPER AA-C
PO BOX 5
HAZELWOOD, MO 63042-0005
Phone number: 314-895-3828
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