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1053925107
BRENDALYNE FACIA TAMBA
WINDER, GA
NPI
1053925107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN207407)
Enumeration Date
2020-09-06
Last Update Date
2021-01-13
Business Address
BRENDALYNE FACIA TAMBA FNP
361 RESOURCE PKWY
WINDER, GA 30680-8364
Phone number: 770-291-0419
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Mailing Address
BRENDALYNE FACIA TAMBA FNP
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046-8762
Phone number: 404-645-7150
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