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1376021840
TESSA MICHE' GERENA-DIAZ
LOGANVILLE, GA
NPI
1376021840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN160820)
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
TESSA MICHE' GERENA-DIAZ FNP-C
1500 HOLLY MANOR DR
LOGANVILLE, GA 30052-5148
Phone number: 678-596-7088
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Mailing Address
TESSA MICHE' GERENA-DIAZ FNP-C
1500 HOLLY MANOR DR
LOGANVILLE, GA 30052-5148
Phone number: 678-596-7088
Copy
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