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1528501269
DANIELA HAZELWOOD
LOGANVILLE, GA
NPI
1528501269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA rn210680)
Enumeration Date
2016-11-29
Last Update Date
2018-05-31
Business Address
DANIELA HAZELWOOD NP-C
4398 ATLANTA HWY
LOGANVILLE, GA 30052
Phone number: 678-732-1519
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Mailing Address
DANIELA HAZELWOOD NP-C
4398 ATLANTA HWY
LOGANVILLE, GA 30052-7314
Phone number: 678-732-1519
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