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1851905442
NIJJA FLENTALL
BRASELTON, GA
NPI
1851905442
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Former Name
NIJJA VARGAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 9977)
Enumeration Date
2020-09-01
Last Update Date
2023-07-25
Business Address
NIJJA FLENTALL PA
1400 RIVER PL
BRASELTON, GA 30517-5600
Phone number: 770-848-7160
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Mailing Address
NIJJA FLENTALL PA
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420
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