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1629404009
MIROSE PHILISTIN VERME
DECATUR, GA
NPI
1629404009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN182347)
Enumeration Date
2013-09-17
Last Update Date
2014-08-25
Business Address
MRS. MIROSE PHILISTIN VERME NP-C
2536 LAWRENCEVILLE HWY
DECATUR, GA 30033
Phone number: 770-934-6832
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Mailing Address
MRS. MIROSE PHILISTIN VERME NP-C
2536 LAWRENCEVILLE HWY
DECATUR, GA 30033-3227
Phone number: 770-934-6832
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