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1770993610
ELAHE MOHAZAB
AUSTELL, GA
NPI
1770993610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN228614)
Enumeration Date
2014-04-30
Last Update Date
2014-04-30
Business Address
-- ELAHE MOHAZAB
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-5570
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Mailing Address
-- ELAHE MOHAZAB
5665 NEW NORTHSIDE DR SUITE 320
ATLANTA, GA 30328-5831
Phone number: 770-874-5400
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