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1962056721
JESSICA LEACH
CANTON, GA
NPI
1962056721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN245676)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
JESSICA LEACH
6120 HICKORY FLAT HWY
CANTON, GA 30115-7252
Phone number: 770-720-0610
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Mailing Address
JESSICA LEACH
6120 HICKORY FLAT HWY
CANTON, GA 30115-7252
Phone number:
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