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1811947112
IDA MARIE DUNN
RIVERDALE, GA
NPI
1811947112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN105176)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
-- IDA MARIE DUNN NP
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2615
Phone number: 770-994-9326
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Mailing Address
-- IDA MARIE DUNN NP
1837 JODECO RD
STOCKBRIDGE, GA 30281-5119
Phone number: 770-994-9326
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