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Individual

STEPHANIE BONGLAE HAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
545 GOLDEN MEADOWS LN, SUWANEE, GA 30024-2271
(517) 214-5304
Mailing address
545 GOLDEN MEADOWS LN, SUWANEE, GA 30024-2271
(517) 214-5304

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
210849
GA

Other

Enumeration date
08/19/2014
Last updated
08/19/2014
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