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1285473876
MANDY LEANN KISOR
CEDARTOWN, GA
NPI
1285473876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA GAA-NP002532)
Enumeration Date
2024-05-22
Last Update Date
2024-09-25
Business Address
MANDY LEANN KISOR FNP-C
14 CHEROKEE RD
CEDARTOWN, GA 30125-4381
Phone number: 770-749-5400
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Mailing Address
MANDY LEANN KISOR FNP-C
221 TECHNOLOGY PKWY NW
ROME, GA 30165-1369
Phone number: 762-235-1000
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