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1215602800
MITA PATEL
CANTON, GA
NPI
1215602800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN240047)
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
MITA PATEL NP
1015 WOODBURY RD
CANTON, GA 30114-1813
Phone number: 140-451-3849
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Mailing Address
MITA PATEL NP
1015 WOODBURY RD
CANTON, GA 30114-1813
Phone number: 140-451-3849
Copy
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