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1942284120
CELINA DAWN CARRUTH
DEMOREST, GA
NPI
1942284120
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Former Name
CELINA DAWN WHITLOCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN102719)
Enumeration Date
2005-12-01
Last Update Date
2014-09-24
Business Address
CELINA DAWN CARRUTH CFNP
835 AUSTIN DR
DEMOREST, GA 30535-4513
Phone number: 706-754-8518
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Mailing Address
CELINA DAWN CARRUTH CFNP
PO BOX 658
GAINESVILLE, GA 30503-0658
Phone number: 770-718-1122
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