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1346871696
EBOTE NGITE NNOKO
DALLAS, GA
NPI
1346871696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN243114)
Enumeration Date
2020-01-27
Last Update Date
2020-01-27
Business Address
EBOTE NGITE NNOKO
108 CRESCENT WOODE DR
DALLAS, GA 30157-5725
Phone number: 770-702-5945
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Mailing Address
EBOTE NGITE NNOKO
108 CRESCENT WOODE DR
DALLAS, GA 30157-5725
Phone number: 770-702-5945
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