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1003264250
QUYEN LE TA
KENNESAW, GA
NPI
1003264250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN211447)
Enumeration Date
2016-05-28
Last Update Date
2016-05-28
Business Address
Mrs. QUYEN LE TA NP
2628 MYRTLEWOOD LN NW
KENNESAW, GA 30144-7395
Phone number: 404-324-9413
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Mailing Address
Mrs. QUYEN LE TA NP
2628 MYRTLEWOOD LN NW
KENNESAW, GA 30144-7395
Phone number: 404-324-9413
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