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1922376417
MICHELE ASA
FAYETTEVILLE, GA
NPI
1922376417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN170388)
Enumeration Date
2011-12-12
Last Update Date
2012-09-05
Business Address
-- MICHELE ASA FNP-BC
745 S. GLYNN STREET
FAYETTEVILLE, GA 30214
Phone number: 770-719-5490
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Mailing Address
-- MICHELE ASA FNP-BC
1402 HOLLY LN NE
ATLANTA, GA 30329-3516
Phone number: 404-325-7891
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