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1093125361
MONICA IBANEZ
DOUGLASVILLE, GA
NPI
1093125361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN173287)
Enumeration Date
2014-05-07
Last Update Date
2016-01-14
Business Address
-- MONICA IBANEZ CPNP
9280 HIGHWAY 5 SUITE A
DOUGLASVILLE, GA 30134-1501
Phone number: 770-942-5863
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Mailing Address
-- MONICA IBANEZ CPNP
3670 BARDFIELD CT
CUMMING, GA 30041-7332
Phone number:
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