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1265136808
ADEN ABATE DESTA
AUSTELL, GA
NPI
1265136808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 283567)
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
ADEN ABATE DESTA
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-4000
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Mailing Address
ADEN ABATE DESTA
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-4000
Copy
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