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1912650151
MARIAM ADAM HASSAN
LITHONIA, GA
NPI
1912650151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: GA 272797)
Enumeration Date
2022-01-28
Last Update Date
2022-01-28
Business Address
MARIAM ADAM HASSAN
858 SUSANNAH CT
LITHONIA, GA 30058-6186
Phone number: 614-599-5692
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Mailing Address
MARIAM ADAM HASSAN
5386 SNAPFINGER WOODS DR
DECATUR, GA 30035-4027
Phone number: 470-880-8080
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