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1376993600
EMILEA EMADE MFORTOW
ATLANTA, GA
NPI
1376993600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN191561)
Enumeration Date
2016-06-17
Last Update Date
2018-06-14
Business Address
Mrs. EMILEA EMADE MFORTOW FNP-C
868 YORK AVE SW
ATLANTA, GA 30310
Phone number: 404-752-1400
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Mailing Address
Mrs. EMILEA EMADE MFORTOW FNP-C
1032 GROVE TRAIL PASS
DOUGLASVILLE, GA 30134-8007
Phone number: 404-610-3591
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