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1316663479
SU MI SHON KWAK
DECATUR, GA
NPI
1316663479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA nco000001)
Enumeration Date
2022-10-19
Last Update Date
2022-10-19
Business Address
SU MI SHON KWAK
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
SU MI SHON KWAK
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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