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1104458751
KASHONDRA DENAE HARRIS
RIVERDALE, GA
NPI
1104458751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN220216)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
KASHONDRA DENAE HARRIS FNP
217 MEDICAL WAY
RIVERDALE, GA 30274-2522
Phone number: 770-991-9227
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Mailing Address
KASHONDRA DENAE HARRIS FNP
1784 FIELDING WAY
HAMPTON, GA 30228-6398
Phone number: 478-719-2286
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