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1427612993
KATHRYN ANN GALLIVAN
ATLANTA, GA
NPI
1427612993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN237322)
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
KATHRYN ANN GALLIVAN NP
859 METROPOLITAN PKWY SW
ATLANTA, GA 30310-2846
Phone number: 404-618-6983
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Mailing Address
KATHRYN ANN GALLIVAN NP
460 WASHINGTON BLVD
DALLAS, GA 30132-9098
Phone number: 404-421-0028
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