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1790417236
KEVWE MILLER FAKPOR
BUFORD, GA
NPI
1790417236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN250526)
Enumeration Date
2022-06-24
Last Update Date
2023-07-09
Business Address
KEVWE MILLER FAKPOR NP
2805 HAMILTON MILL RD
BUFORD, GA 30519-4110
Phone number: 678-541-0588
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Mailing Address
KEVWE MILLER FAKPOR NP
2767 COVE VIEW CT
DACULA, GA 30019-4715
Phone number: 404-989-6654
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