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1376717504
VICTORINE MAFOUEKA NGUENA
LAWRENCEVILLE, GA
NPI
1376717504
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Former Name
VICTORINE MAFOUEKA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 063092)
Enumeration Date
2008-04-18
Last Update Date
2009-12-01
Business Address
Mrs. VICTORINE MAFOUEKA NGUENA M.D
3664 CLUB DR STE 201
LAWRENCEVILLE, GA 30044-2959
Phone number: 678-380-8433
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Mailing Address
Mrs. VICTORINE MAFOUEKA NGUENA M.D
2012 LITTLE RIVER DR
SUWANEE, GA 30024-3266
Phone number: 770-314-9245
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