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1710426879
ALYSSA DANIELLE GUNAWAN
BROOKHAVEN, GA
NPI
1710426879
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Former Name
ALYSSA DANIELLE SALAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN264580)
Enumeration Date
2017-02-21
Last Update Date
2017-02-21
Business Address
MRS. ALYSSA DANIELLE GUNAWAN FNP-C
3369 BUFORD HWY NE SUITE NUMBER 810
BROOKHAVEN, GA 30329-3722
Phone number: 404-321-4692
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Mailing Address
MRS. ALYSSA DANIELLE GUNAWAN FNP-C
3413 ALEXANDER CIR NE
ATLANTA, GA 30326-1268
Phone number: 480-694-1260
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