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1336741982
PHYLLIS SHANYISA SHILULI
ATLANTA, GA
NPI
1336741982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F05180369)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
Ms. PHYLLIS SHANYISA SHILULI
3100 SUGARBERRY LN
ATLANTA, GA 30339-8567
Phone number: 770-843-0504
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Mailing Address
Ms. PHYLLIS SHANYISA SHILULI
3100 SUGARBERRY LN
ATLANTA, GA 30339-8567
Phone number: 770-843-0504
Copy
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