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1013251859
TAMMY VARDEMAN AGUILAR
DECATUR, GA
NPI
1013251859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: GA RN117954)
Enumeration Date
2012-11-17
Last Update Date
2012-11-17
Business Address
-- TAMMY VARDEMAN AGUILAR RN, NNP-BC
101 W PONCE DE LEON AVE SUITE #242
DECATUR, GA 30030-2542
Phone number: 404-778-7622
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Mailing Address
-- TAMMY VARDEMAN AGUILAR RN, NNP-BC
101 W PONCE DE LEON AVE SUITE #242
DECATUR, GA 30030-2542
Phone number: 404-778-7622
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