JACKLINE WANGA GATES

FAYETTEVILLE, GA
NPI1801432216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN313932)
Enumeration Date2019-11-20
Last Update Date2024-07-31
Business Address
JACKLINE WANGA GATES
1275 HIGHWAY 54 W STE 201
FAYETTEVILLE, GA 30214-4538
Phone number: 770-461-3776
Mailing Address
JACKLINE WANGA GATES
1275 HIGHWAY 54 W STE 201
FAYETTEVILLE, GA 30214-4538
Phone number: 770-461-3776
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