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1114759032
SIOHBAN NICOLE LEWIS
CONYERS, GA
NPI
1114759032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN254594)
Enumeration Date
2024-08-19
Last Update Date
2024-08-21
Business Address
Mrs. SIOHBAN NICOLE LEWIS FNP-C
1804 COLONIAL SOUTH DR SW
CONYERS, GA 30094-4232
Phone number: 404-374-3659
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Mailing Address
Mrs. SIOHBAN NICOLE LEWIS FNP-C
1804 COLONIAL SOUTH DR SW
CONYERS, GA 30094-4232
Phone number: 404-374-3659
Copy
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