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1518450352
DORENE EBANGHA ETAROCK
BALL GROUND, GA
NPI
1518450352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN296118)
Enumeration Date
2018-06-06
Last Update Date
2024-08-13
Business Address
DORENE EBANGHA ETAROCK FNP-C
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Phone number: 770-268-4011
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Mailing Address
DORENE EBANGHA ETAROCK FNP-C
3333 RIVERWOOD PKWY SE STE 250
ATLANTA, GA 30339-3304
Phone number: 770-914-0116
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