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Individual

CIELITHA RUFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1223 BENTLEY ESTATES DR., DACULA, GA 30019
(678) 791-6262
Mailing address
1223 BENTLEY ESTATES DR, DACULA, GA 30019-7787
(678) 791-6262

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN214208
GA
363LP2300X
Primary Care Nurse Practitioner
RN214208
GA

Other

Enumeration date
07/15/2018
Last updated
07/15/2018
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