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1366036592
DEBRA M MUKHTAR
LAWRENCEVILLE, GA
NPI
1366036592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA 139691)
Enumeration Date
2021-02-28
Last Update Date
2021-02-28
Business Address
DEBRA M MUKHTAR RN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
DEBRA M MUKHTAR RN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Copy
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