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1306360060
KAMEELAH L. ELLIS
RIVERDALE, GA
NPI
1306360060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA 179861)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
KAMEELAH L. ELLIS NP
33 UPPER RIVERDALE RD SW STE 21
RIVERDALE, GA 30274-2617
Phone number: 404-314-8868
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Mailing Address
KAMEELAH L. ELLIS NP
PO BOX 1631
MCDONOUGH, GA 30253-1631
Phone number: 404-314-8868
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