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1588383913
MARIVIC YBANEZ LLENA
CANTON, GA
NPI
1588383913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN126208)
Enumeration Date
2022-08-29
Last Update Date
2023-10-20
Business Address
MARIVIC YBANEZ LLENA FNP-C
3290 SIXES RD
CANTON, GA 30114
Phone number: 678-374-7514
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Mailing Address
MARIVIC YBANEZ LLENA FNP-C
404 BALLYMORE PASS
WOODSTOCK, GA 30189-7418
Phone number: 404-431-8126
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