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Individual

LIMATA AYINKE AMOUSSA MADJIBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3915 CASCADE RD SW STE 360, ATLANTA, GA 30331-8533
(678) 973-2370
(470) 819-4995
Mailing address
1543 SOONER CT, LAWRENCEVILLE, GA 30045-6618
(770) 402-0966

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN274105
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN274105
GA

Other

Enumeration date
03/10/2023
Last updated
05/28/2024
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