Individual
DEBORAH IMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 PRESIDENTIAL PKWY, SUITE 106, ATLANTA, GA 30340-3720
(404) 932-9405
Mailing address
PO BOX 56147, ATLANTA, GA 30343-0147
(404) 932-9405
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
GA
Other
Enumeration date
06/28/2016
Last updated
06/29/2016
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