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1104546597
INGRID PRADERE
POWDER SPRINGS, GA
NPI
1104546597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN260293)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
MRS. INGRID PRADERE FNP
6033 PAVESTONE DR
POWDER SPRINGS, GA 30127-9525
Phone number: 678-687-1757
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Mailing Address
MRS. INGRID PRADERE FNP
6033 PAVESTONE DR
POWDER SPRINGS, GA 30127-9525
Phone number: 678-687-1757
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