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1063853133
TAMMY FELICIA BLACKMON
ATLANTA, GA
NPI
1063853133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA RN196430)
Enumeration Date
2013-07-17
Last Update Date
2013-07-17
Business Address
-- TAMMY FELICIA BLACKMON
270 17TH ST NW UNIT 2501
ATLANTA, GA 30363-1218
Phone number: 678-697-0844
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Mailing Address
-- TAMMY FELICIA BLACKMON
270 17TH STREET STREET NW UNIT. 2501
ATLANTA, GA 30363
Phone number: 678-697-0844
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