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1811726532
VIDA AMANFO
ATLANTA, GA
NPI
1811726532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 246748)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
VIDA AMANFO
274 WOODMILL WAY SW
ATLANTA, GA 30331-9497
Phone number: 508-579-9770
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Mailing Address
VIDA AMANFO
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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