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1609255066
ALTHEA CHARITY DIMACULANGAN
MCDONOUGH, GA
NPI
1609255066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA 178925)
Enumeration Date
2015-05-19
Last Update Date
2015-05-19
Business Address
ALTHEA CHARITY DIMACULANGAN NP-C
345 HUNTINGTON PLACE CT
MCDONOUGH, GA 30253-8651
Phone number: 678-272-7280
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Mailing Address
ALTHEA CHARITY DIMACULANGAN NP-C
345 HUNTINGTON PLACE CT
MCDONOUGH, GA 30253-8651
Phone number: 678-272-7280
Copy
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