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1508355207
EME IDIONG UDI
DECATUR, GA
NPI
1508355207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA RN114315)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
EME IDIONG UDI
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
EME IDIONG UDI
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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