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1366776924
GRACE NWACHUKWU IBEANUSI
MCDONOUGH, GA
NPI
1366776924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN118753)
Enumeration Date
2009-09-29
Last Update Date
2021-03-29
Business Address
Mrs. GRACE NWACHUKWU IBEANUSI NP
896 HIGHWAY 81 E
MCDONOUGH, GA 30252-2914
Phone number: 678-732-1520
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Mailing Address
Mrs. GRACE NWACHUKWU IBEANUSI NP
PO BOX 102038
ATLANTA, GA 30368-2038
Phone number:
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