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1932391349
KRYSTAL E CANADY
MACON, GA
NPI
1932391349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA #f0207110)
Enumeration Date
2007-08-10
Last Update Date
2015-08-04
Business Address
-- KRYSTAL E CANADY F.N.P
770 WALNUT ST
MACON, GA 31201-7307
Phone number: 478-787-4266
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Mailing Address
-- KRYSTAL E CANADY F.N.P
PO BOX 4363
MACON, GA 31208-4363
Phone number:
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