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1992065718
KATHLEEN C HAYNES
ELLENWOOD, GA
NPI
1992065718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN101149)
Enumeration Date
2012-05-26
Last Update Date
2012-05-26
Business Address
-- KATHLEEN C HAYNES FNP
4539 WARREN MILL TRL
ELLENWOOD, GA 30294-2051
Phone number: 678-538-7151
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Mailing Address
-- KATHLEEN C HAYNES FNP
4539 WARREN MILL TRL
ELLENWOOD, GA 30294-2051
Phone number: 678-538-7151
Copy
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