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1619618873
CHIDIMMA EGBULEM
KENNESAW, GA
NPI
1619618873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA RN260336)
Enumeration Date
2022-04-04
Last Update Date
2022-04-04
Business Address
CHIDIMMA EGBULEM PMHNP-BC
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone number: 770-427-0147
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Mailing Address
CHIDIMMA EGBULEM PMHNP-BC
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone number: 770-427-0147
Copy
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