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1134428048
CHANNA DELORIS ROCHESTER
SNELLVILLE, GA
NPI
1134428048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA 2023151837)
Enumeration Date
2011-03-17
Last Update Date
2023-12-21
Business Address
CHANNA DELORIS ROCHESTER nurse/LPN
11O8 WAYNE DR
SNELLVILLE, GA 30078
Phone number: 404-453-8100
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Mailing Address
CHANNA DELORIS ROCHESTER nurse/LPN
1108 WAYNE
SNELLVILLE, GA 30078
Phone number: 404-453-8100
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