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1184176455
EVAH WANGUNGU
CARROLLTON, GA
NPI
1184176455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN206115)
Enumeration Date
2016-11-02
Last Update Date
2017-01-10
Business Address
-- EVAH WANGUNGU
705 DIXIE ST
CARROLLTON, GA 30117-3818
Phone number: 770-838-8824
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Mailing Address
-- EVAH WANGUNGU
119 AMBULANCE DR SUITE 202
CARROLLTON, GA 30117-3857
Phone number: 770-838-8824
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