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1780380105
ETSEGENET G. ENDALE
MARIETTA, GA
NPI
1780380105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F12220213)
Enumeration Date
2023-02-07
Last Update Date
2023-02-23
Business Address
ETSEGENET G. ENDALE DNP
687 JOHNSON FERRY RD
MARIETTA, GA 30068-4628
Phone number: 404-200-8319
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Mailing Address
ETSEGENET G. ENDALE DNP
PO BOX 381
DOUGLASVILLE, GA 30133-0381
Phone number:
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