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1629561345
GRACE ADA NDUKA EKE
FAYETTEVILLE, GA
NPI
1629561345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN228096)
Enumeration Date
2018-06-07
Last Update Date
2018-10-18
Business Address
GRACE ADA NDUKA EKE
405 HILLSDALE DR
FAYETTEVILLE, GA 30214-1468
Phone number: 678-357-9861
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Mailing Address
GRACE ADA NDUKA EKE
612 W GORDON ST STE A
THOMASTON, GA 30286-3480
Phone number: 678-357-9861
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