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1346834546
TAMARAH THREAT
LAWRENCEVILLE, GA
NPI
1346834546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: GA RN228456)
Enumeration Date
2021-02-27
Last Update Date
2021-02-27
Business Address
TAMARAH THREAT NP-C
478 NORTHDALE RD STE 201
LAWRENCEVILLE, GA 30046-8902
Phone number: 770-820-4105
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Mailing Address
TAMARAH THREAT NP-C
835 PAPER CREEK DR
LAWRENCEVILLE, GA 30046-5356
Phone number: 770-820-4105
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