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1679163216
NICOYA BUTLER
DECATUR, GA
NPI
1679163216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA 167569)
Enumeration Date
2021-01-18
Last Update Date
2021-01-18
Business Address
NICOYA BUTLER NP
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
NICOYA BUTLER NP
PO BOX 392376
SNELLVILLE, GA 30039-0040
Phone number:
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