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1205229671
LISA GOMEZ
WOODSTOCK, GA
NPI
1205229671
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Former Name
LISA WAUGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN097624)
Enumeration Date
2015-03-10
Last Update Date
2019-08-07
Business Address
LISA GOMEZ AGACNP
4296 MOCCASIN TRL
WOODSTOCK, GA 30189-4867
Phone number: 042-934-4286
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Mailing Address
LISA GOMEZ AGACNP
4296 MOCCASIN TRL
WOODSTOCK, GA 30189-4867
Phone number: 404-293-4286
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