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1922433580
JIJI VINCENT
LAWRENCEVILLE, GA
NPI
1922433580
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Former Name
JIJI MATHEW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA 214678)
Enumeration Date
2013-09-13
Last Update Date
2013-09-13
Business Address
-- JIJI VINCENT RN
69 GOLD MAPLE RD
LAWRENCEVILLE, GA 30043-6530
Phone number: 678-267-4164
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Mailing Address
-- JIJI VINCENT RN
69 GOLD MAPLE RD
LAWRENCEVILLE, GA 30043-6530
Phone number: 678-267-4164
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