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Individual

JUSTINE VADINI HYBL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APC

Contact information

Practice address
3516 COVINGTON HWY, DECATUR, GA 30032-1850
(404) 308-8548
Mailing address
770 LIVINGSTONE PL, DECATUR, GA 30030-3949
(704) 995-5202

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC007570
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20-1806108
NO MEDICARE OPTION
GA
Enumeration date
05/10/2022
Last updated
05/10/2022
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