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1952809774
TAKATSO MOYO
LAWRENCEVILLE, GA
NPI
1952809774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F05170157)
Enumeration Date
2018-01-26
Last Update Date
2018-01-26
Business Address
Mrs. TAKATSO MOYO
475 PHILIP BLVD STE 100
LAWRENCEVILLE, GA 30046-8736
Phone number: 770-995-3300
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Mailing Address
Mrs. TAKATSO MOYO
475 PHILIP BLVD STE 100
LAWRENCEVILLE, GA 30046-8736
Phone number: 770-995-3300
Copy
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