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1013965961
AVRIL PATRICE DAISLEY SHONGO
SUWANEE, GA
NPI
1013965961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 43028)
Enumeration Date
2006-05-04
Last Update Date
2020-11-02
Business Address
AVRIL PATRICE DAISLEY SHONGO MD
3312 HEATHCHASE LN ADDRESS LINE 2
SUWANEE, GA 30024-4639
Phone number: 678-783-4860
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Mailing Address
AVRIL PATRICE DAISLEY SHONGO MD
2090 LAWRENCEVILLE SUWANEE RD SUITE A#519
SUWANEE, GA 30024-4639
Phone number: 678-783-4860
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