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1982181640
TAMIKA JOHNNICANS
STOCKBRIDGE, GA
NPI
1982181640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN209553)
Enumeration Date
2018-07-25
Last Update Date
2018-08-17
Business Address
TAMIKA JOHNNICANS Nurse Practitioner
145 EAGLES WALK STE A
STOCKBRIDGE, GA 30281
Phone number: 770-914-1808
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Mailing Address
TAMIKA JOHNNICANS Nurse Practitioner
145 EAGLES WALK STE A
STOCKBRIDGE, GA 30281-7340
Phone number: 770-914-1808
Copy
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