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1689733909
ANNA T DERISO
ATLANTA, GA
NPI
1689733909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN146512 NP)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
Mrs. ANNA T DERISO RNC, WHNP
77 COLLIER RD NW SUITE 2050
ATLANTA, GA 30309-1764
Phone number: 404-351-1002
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Mailing Address
Mrs. ANNA T DERISO RNC, WHNP
3102 PEACHTREE DR NE
ATLANTA, GA 30305-2752
Phone number: 404-869-3224
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