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1972112357
MARIE L GLORIE
DALLAS, GA
NPI
1972112357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: GA RN217524)
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
MARIE L GLORIE NP
625 W MEMORIAL DR
DALLAS, GA 30132-4120
Phone number: 678-903-5103
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Mailing Address
MARIE L GLORIE NP
4235 THAYER DR
POWDER SPRINGS, GA 30127-5651
Phone number: 404-985-0242
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