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1225141732
MITZI LEWIS
ATLANTA, GA
NPI
1225141732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA RN145510 NP)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
-- MITZI LEWIS GNP
1525 CLIFTON RD NE SUITE 207
ATLANTA, GA 30322-4200
Phone number: 404-778-4451
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Mailing Address
-- MITZI LEWIS GNP
789 MOCKINGBIRD LN
MARIETTA, GA 30068-2357
Phone number: 770-971-5789
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