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1447974373
ILYANA AMALIA REYNOSO
LAWRENCEVILLE, GA
NPI
1447974373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN244021)
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
ILYANA AMALIA REYNOSO NP
455 GRAYSON HWY STE 300
LAWRENCEVILLE, GA 30046-6387
Phone number: 770-339-4283
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Mailing Address
ILYANA AMALIA REYNOSO NP
1106 YELLOW RIVER DR
LAWRENCEVILLE, GA 30043-8700
Phone number: 646-496-5306
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