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1639583396
GINA RENE HOMA
DEMOREST, GA
NPI
1639583396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA 170654)
Enumeration Date
2014-06-19
Last Update Date
2014-06-19
Business Address
GINA RENE HOMA APRN FNP-BC
135 HABERSHAM LANDING DR
DEMOREST, GA 30535-4827
Phone number: 706-768-0771
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Mailing Address
GINA RENE HOMA APRN FNP-BC
135 HABERSHAM LANDING DR
DEMOREST, GA 30535-4827
Phone number: 706-768-0771
Copy
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