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1912997206
DELLA LERTPENMAETA
POWDER SPRINGS, GA
NPI
1912997206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN093485)
Enumeration Date
2005-10-27
Last Update Date
2013-12-27
Business Address
Ms. DELLA LERTPENMAETA CNP
4250 BROWNSVILLE RD
POWDER SPRINGS, GA 30127-2559
Phone number: 678-567-8000
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Mailing Address
Ms. DELLA LERTPENMAETA CNP
4250 BROWNSVILLE RD
POWDER SPRINGS, GA 30127-2559
Phone number: 770-920-2280
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