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1447790530
BRANDERLY MALIWA
DOUGLASVILLE, GA
NPI
1447790530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN224384)
Enumeration Date
2017-03-08
Last Update Date
2018-06-16
Business Address
-- BRANDERLY MALIWA
3311 HIGHWAY 5 STE C
DOUGLASVILLE, GA 30135-2375
Phone number: 678-383-6944
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Mailing Address
-- BRANDERLY MALIWA
3311 HIGHWAY 5 SUITE C, ONE STOP MEDICAL CLINIC
DOUGLASVILLE, GA 30135
Phone number: 765-326-0148
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