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1568700334
MONA IZADI
BLUE RIDGE, GA
NPI
1568700334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN079353)
Enumeration Date
2013-01-29
Last Update Date
2015-04-21
Business Address
Mrs. MONA IZADI FNP-BC
10152 BLUE RIDGE DR
BLUE RIDGE, GA 30513-5935
Phone number: 706-946-3621
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Mailing Address
Mrs. MONA IZADI FNP-BC
10152 BLUE RIDGE DR
BLUE RIDGE, GA 30513-5935
Phone number: 706-946-3621
Copy
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