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1174077028
ILIANA I VERMILLION
KENNESAW, GA
NPI
1174077028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN216175)
Enumeration Date
2016-08-09
Last Update Date
2016-12-21
Business Address
-- ILIANA I VERMILLION NP-C
3215 CAMPUS LOOP RD NW
KENNESAW, GA 30144-3227
Phone number: 470-578-7937
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Mailing Address
-- ILIANA I VERMILLION NP-C
3215 CAMPUS LOOP RD NW
KENNESAW, GA 30144-3227
Phone number:
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