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1124780861
DELIVERANCE HEALTH LIMITED LIABILITY COMPANY
DALLAS, GA
NPI
1124780861
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Entity Type
Organization
Authorized Contact
EBOTE N NNOKO
Owner
404-934-6010
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-10-11
Last Update Date
2021-10-14
Business Address
DELIVERANCE HEALTH LIMITED LIABILITY COMPANY
108 CRESCENT WOODE DR
DALLAS, GA 30157-5725
Phone number: 404-934-6010
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Mailing Address
DELIVERANCE HEALTH LIMITED LIABILITY COMPANY
108 CRESCENT WOODE DR
DALLAS, GA 30157-5725
Phone number:
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