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1508574674
CHRISTINA JASMIM PORTER
DECATUR, GA
NPI
1508574674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: GA RN244148)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
CHRISTINA JASMIM PORTER
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number: 404-501-1000
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Mailing Address
CHRISTINA JASMIM PORTER
693 PEACHTREE ST NE APT 20C
ATLANTA, GA 30308-4145
Phone number: 334-759-0102
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