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1093425191
AMARACHI EDOM
LOGANVILLE, GA
NPI
1093425191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN255325)
Enumeration Date
2022-11-29
Last Update Date
2022-11-29
Business Address
Mrs. AMARACHI EDOM PMHNP
2501 FALL CREEK LDG
LOGANVILLE, GA 30052-5819
Phone number: 404-438-4634
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Mailing Address
Mrs. AMARACHI EDOM PMHNP
2501 FALL CREEK LDG
LOGANVILLE, GA 30052-5819
Phone number: 404-438-4634
Copy
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