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KRYSTAL ANNE FAIL

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1073185153

Individual Registrant:
 KRYSTAL ANNE FAIL 
Gender: F
Sole Proprietor

Location and contact information for practice:
706 W BARNARD ST  GLENNVILLE, GA 30427-3017 US
Tel: 812-822-1941  Fax: --

Contact information for business:
505 N CLARK ST  CLAXTON, GA 30417-1516 US
Tel: 912-531-0616  Fax: --

Registration Information:
NPI: 1073185153
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN213761

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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