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1306200852
VICTORIA MODUPE BENARD
DECATUR, GA
NPI
1306200852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN121933)
Enumeration Date
2016-04-11
Last Update Date
2024-08-23
Business Address
VICTORIA MODUPE BENARD Nurse Practitioner
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-294-3745
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Mailing Address
VICTORIA MODUPE BENARD Nurse Practitioner
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-294-3745
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