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Individual

APRYL ESPINOZA-WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT

Contact information

Practice address
1955 HIGHWAY 138 NE, CONYERS, GA 30013-1219
(678) 861-8108
(770) 234-5103
Mailing address
1911 BIRCH CT SW, CONYERS, GA 30094-3436
(678) 357-1218
(770) 234-5103

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
GA

Other

Enumeration date
12/21/2015
Last updated
12/21/2015
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