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1467106153
MTRAC HEALTHCARE
FAYETTEVILLE, GA
NPI
1467106153
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Entity Type
Organization
Authorized Contact
FATIMAT AGBOJEYIN
Owner
404-513-2868
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-02-10
Last Update Date
2022-02-10
Business Address
MTRAC HEALTHCARE
105 EMERALD LAKE CT
FAYETTEVILLE, GA 30215-7748
Phone number: 404-513-2868
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Mailing Address
MTRAC HEALTHCARE
105 EMERALD LAKE CT
FAYETTEVILLE, GA 30215-7748
Phone number: 404-513-2868
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