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1326821836
KHADIJAH ADAMA TARAWALLY
ATLANTA, GA
NPI
1326821836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA Rn262730)
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
KHADIJAH ADAMA TARAWALLY
2151 PEACHFORD RD
ATLANTA, GA 30338-6599
Phone number: 770-455-3200
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Mailing Address
KHADIJAH ADAMA TARAWALLY
1186 MASTERS LN
SNELLVILLE, GA 30078-3583
Phone number: 140-437-5915
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