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1811659535
MONA BLACKWELL
LAWRENCEVILLE, GA
NPI
1811659535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN262650)
Enumeration Date
2021-10-11
Last Update Date
2021-10-11
Business Address
-- MONA BLACKWELL FNP-BC
4850 SUGARLOAF PKWY STE 101
LAWRENCEVILLE, GA 30044-2860
Phone number: 678-490-8300
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Mailing Address
-- MONA BLACKWELL FNP-BC
4850 SUGARLOAF PKWY STE 101
LAWRENCEVILLE, GA 30044-2860
Phone number: 678-490-8300
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