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1033469218
PREM LATA KHANNA
DECATUR, GA
NPI
1033469218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN080496)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
MRS. PREM LATA KHANNA RN
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-508-7793
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Mailing Address
MRS. PREM LATA KHANNA RN
368 BROOKSHIRE DR SW
LILBURN, GA 30047-2106
Phone number: 770-389-8817
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