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Individual

EBENI PASSMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1770 OLD SPRING HOUSE LN # 116A, DUNWOODY, GA 30338-6213
(404) 416-3817
Mailing address
1770 OLD SPRING HOUSE LN # 116A, ATLANTA, GA 30338-6213
(404) 416-3817

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
GA

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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