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1871703033
ISATA C MOMOH
SNELLVILLE, GA
NPI
1871703033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN136010)
Enumeration Date
2007-05-23
Last Update Date
2014-10-24
Business Address
Ms. ISATA C MOMOH NP-C
2855 ADAMS POINTE DR
SNELLVILLE, GA 30078-2930
Phone number: 770-978-5032
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Mailing Address
Ms. ISATA C MOMOH NP-C
2675 N DECATUR RD 410
DECATUR, GA 30033-6131
Phone number: 404-501-2927
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