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1114142544
GEERTRUIDA CORNELIA DISSELDORP
ATLANTA, GA
NPI
1114142544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN100092)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
Ms. GEERTRUIDA CORNELIA DISSELDORP RN
2660 OSBORNE RD NE
ATLANTA, GA 30319-2832
Phone number: 404-231-9363
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Mailing Address
Ms. GEERTRUIDA CORNELIA DISSELDORP RN
1337 SHAW DRIVE
MARIETTA, GA 30066-5627
Phone number: 404-231-9363
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