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1497957013
LEAH K MIDDENDORF
KENNESAW, GA
NPI
1497957013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN160477)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
-- LEAH K MIDDENDORF NP-C
2774 COBB PKWY NW STE 201
KENNESAW, GA 30152-3469
Phone number: 678-569-0144
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Mailing Address
-- LEAH K MIDDENDORF NP-C
297 BERMUDA CT
DALLAS, GA 30157-4624
Phone number: 770-445-8865
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