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1972000404
MALAKA MUSTAFA
ATLANTA, GA
NPI
1972000404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 8714)
Enumeration Date
2018-04-11
Last Update Date
2018-07-18
Business Address
MALAKA MUSTAFA
303 PARKWAY DR NE
ATLANTA, GA 30312
Phone number: 404-265-4000
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Mailing Address
MALAKA MUSTAFA
219 BEAVER CREEK LN
WOODSTOCK, GA 30189-2552
Phone number: 706-847-5252
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