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1578607784
CHINYERE DIVINELOVE ENWOROM
LAWRENCEVILLE, GA
NPI
1578607784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN180187 NP)
Enumeration Date
2007-02-19
Last Update Date
2011-09-19
Business Address
-- CHINYERE DIVINELOVE ENWOROM MSN, APRN, FNP-BC
605 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045-4315
Phone number: 770-962-1231
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Mailing Address
-- CHINYERE DIVINELOVE ENWOROM MSN, APRN, FNP-BC
730 VALLA CRUCIS LN
DACULA, GA 30019-7059
Phone number: 770-963-9363
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