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1740600048
KENYATTA MIREKU
LAWRENCEVILLE, GA
NPI
1740600048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: GA 080834)
Enumeration Date
2014-04-24
Last Update Date
2018-10-02
Business Address
KENYATTA MIREKU MD
771 OLD NORCROSS RD STE 260
LAWRENCEVILLE, GA 30046-4981
Phone number: 770-962-5040
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Mailing Address
KENYATTA MIREKU MD
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7172
Phone number:
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