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Individual

JONATHAN CUETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
3795 BUFORD DR, BUFORD, GA 30519-4906
(770) 447-9777
(770) 807-0752
Mailing address
3795 BUFORD DR, BUFORD, GA 30519-4906
(770) 447-9777
(770) 807-0752

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN203087
GA

Other

Enumeration date
06/14/2012
Last updated
05/30/2013
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