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1457937997
JACQUELINE N MBUYONGHA
LAWRENCEVILLE, GA
NPI
1457937997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: GA RN191886)
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
JACQUELINE N MBUYONGHA RN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
JACQUELINE N MBUYONGHA RN
4039 ELM TRACE DR
LOGANVILLE, GA 30052-5941
Phone number: 678-267-4487
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