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1184603045
DONNA VAN BLADEL WALL
HIRAM, GA
NPI
1184603045
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Other Name
DONNA VAN BLADEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN134321)
Enumeration Date
2006-01-10
Last Update Date
2019-04-17
Business Address
Mrs. DONNA VAN BLADEL WALL NP
144 BILL CARRUTH PKWY STE 3100
HIRAM, GA 30141-3819
Phone number: 678-363-1940
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Mailing Address
Mrs. DONNA VAN BLADEL WALL NP
531 ROSELANE ST NW STE 710
MARIETTA, GA 30060-6975
Phone number: 678-331-3297
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