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1720640162
SONYA COUTEE WALLACE
SMYRNA, GA
NPI
1720640162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: GA RN163190)
Enumeration Date
2019-07-06
Last Update Date
2019-07-06
Business Address
SONYA COUTEE WALLACE WHNP-BC
3200 HIGHLANDS PKWY SE STE 420
SMYRNA, GA 30082-5192
Phone number: 678-424-1123
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Mailing Address
SONYA COUTEE WALLACE WHNP-BC
3239 BOROGROVE WAY
DECATUR, GA 30032-5980
Phone number: 404-218-5475
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