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1912373473
DAPHNE PROVAU
ATLANTA, GA
NPI
1912373473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN196115)
Enumeration Date
2015-08-18
Last Update Date
2015-08-18
Business Address
-- DAPHNE PROVAU
199 14TH ST NE APT 208
ATLANTA, GA 30309-3672
Phone number: 678-908-8204
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Mailing Address
-- DAPHNE PROVAU
199 14TH ST NE APT 208
ATLANTA, GA 30309-3672
Phone number: 678-908-8204
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