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1164574844
MITRA MANSOURI DAVIS
ATLANTA, GA
NPI
1164574844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: GA RN112909)
Enumeration Date
2007-01-16
Last Update Date
2016-02-02
Business Address
Mrs. MITRA MANSOURI DAVIS CNM
1100 JOHNSON FERRY RD SUITE 800
ATLANTA, GA 30342-1709
Phone number: 404-252-1137
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Mailing Address
Mrs. MITRA MANSOURI DAVIS CNM
1100 JOHNSON FERRY RD SUITE 800
ATLANTA, GA 30342-1709
Phone number: 404-252-1137
Copy
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