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1124625231
ROSEYLEE KURIAKOSE
LOGANVILLE, GA
NPI
1124625231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN220165)
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
ROSEYLEE KURIAKOSE
367 ATHENS HWY
LOGANVILLE, GA 30052-2204
Phone number: 678-466-6760
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Mailing Address
ROSEYLEE KURIAKOSE
367 ATHENS HWY
LOGANVILLE, GA 30052-2204
Phone number:
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