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Individual

DAPHNE POUNCIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
112 COURTNEY CT APT B, ALBANY, GA 31721-6297
(404) 390-7610
Mailing address
112 COURTNEY CT APT B, ALBANY, GA 31721-6297
(404) 390-7610

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
056165716
GA

Other

Enumeration date
05/16/2019
Last updated
05/16/2019
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