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1962692871
JENNICA E. N. CORNINE
MACON, GA
NPI
1962692871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 005080)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
-- JENNICA E. N. CORNINE PA
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-1000
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Mailing Address
-- JENNICA E. N. CORNINE PA
598 3RD ST
MACON, GA 31201-3357
Phone number: 478-633-6706
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