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1871842427
SAFIAH VAFAEIAN
WOODSTOCK, GA
NPI
1871842427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN102635)
Enumeration Date
2012-08-29
Last Update Date
2017-04-19
Business Address
-- SAFIAH VAFAEIAN
950 TOWNE LAKE PKWY
WOODSTOCK, GA 30189-1601
Phone number: 855-925-4733
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Mailing Address
-- SAFIAH VAFAEIAN
300 WILMOT RD # 3113
DEERFIELD, IL 60015-4614
Phone number: 855-925-4733
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