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1487255113
RITA NAGAWA
CANTON, GA
NPI
1487255113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 9882)
Enumeration Date
2020-11-09
Last Update Date
2020-12-22
Business Address
RITA NAGAWA
111 MOUNTAIN BROOK DR
CANTON, GA 30115-9045
Phone number: 678-880-9654
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Mailing Address
RITA NAGAWA
111 MOUNTAIN BROOK DR
CANTON, GA 30115-9045
Phone number: 678-880-9654
Copy
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