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1780091983
BLESSING ADA IKONNE
SMYRNA, GA
NPI
1780091983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN197583)
Enumeration Date
2014-07-20
Last Update Date
2014-11-10
Business Address
Mrs. BLESSING ADA IKONNE NP- C
2994 ATLANTA RD SE
SMYRNA, GA 30080-3655
Phone number: 866-389-2727
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Mailing Address
Mrs. BLESSING ADA IKONNE NP- C
634 EXCALIBUR CT SE
MABLETON, GA 30126-4699
Phone number: 574-386-4030
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