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1992080436
ESOHE GRACE IDUSUYI
ACWORTH, GA
NPI
1992080436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN144525NP)
Enumeration Date
2011-10-17
Last Update Date
2011-10-17
Business Address
Ms. ESOHE GRACE IDUSUYI nurse practitioner
4944 SEPTEMBER CT NW
ACWORTH, GA 30102-7915
Phone number: 770-975-9538
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Mailing Address
Ms. ESOHE GRACE IDUSUYI nurse practitioner
4944 SEPTEMBER COURT
ACWORTH, GA 30102
Phone number: 770-975-9538
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