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Individual

MRS. DEBORAH PAULINE MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 E WEST CONNECTOR, AUSTELL, GA 30106-1358
(770) 438-1680
Mailing address
9105 HANOVER ST, LITHIA SPRINGS, GA 30122-6404
(678) 665-9939

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN173642NP
GA

Other

Enumeration date
06/08/2010
Last updated
03/24/2014
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