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1649011487
TALITA CHACKO
DECATUR, GA
NPI
1649011487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN197771)
Enumeration Date
2024-06-05
Last Update Date
2024-10-17
Business Address
TALITA CHACKO
497 WINN WAY
DECATUR, GA 30030-1754
Phone number: 404-645-7150
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Mailing Address
TALITA CHACKO
497 WINN WAY
DECATUR, GA 30030-1754
Phone number:
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