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Individual

JESSICA ALYSSA WIMBERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1718 N COASTAL HWY, MIDWAY, GA 31320-3415
(912) 880-2288
Mailing address
367 MOODY RD, HINESVILLE, GA 31313-7307
(912) 432-5759

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH012383
GA

Other

Enumeration date
12/10/2020
Last updated
12/10/2020
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