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1871365973
AISHA FATIMA SHINE
LAWRENCEVILLE, GA
NPI
1871365973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA 279533)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
AISHA FATIMA SHINE NP
351 OAKTOWN PL
LAWRENCEVILLE, GA 30044-3823
Phone number: 443-616-7477
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Mailing Address
AISHA FATIMA SHINE NP
351 OAKTOWN PL
LAWRENCEVILLE, GA 30044-3823
Phone number: 443-616-7477
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