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1124462007
LAYLA KIDANE
AUSTELL, GA
NPI
1124462007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN212851)
Enumeration Date
2013-04-23
Last Update Date
2013-04-23
Business Address
-- LAYLA KIDANE
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-4022
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Mailing Address
-- LAYLA KIDANE
3232 OAK VISTA WAY
LAWRENCEVILLE, GA 30044-6724
Phone number:
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