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1992561153
DESIREE CRUMP
DALLAS, GA
NPI
1992561153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA RN256140)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
DESIREE CRUMP
222 VICTORIA HEIGHTS LN
DALLAS, GA 30132-9294
Phone number: 336-596-6882
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Mailing Address
DESIREE CRUMP
222 VICTORIA HEIGHTS LN
DALLAS, GA 30132-9294
Phone number:
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