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Individual

MAVIS K MENSAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3807 CLAIRMONT RD, CHAMBLEE, GA 30341-4911
(770) 454-1144
(770) 452-4470
Mailing address
314 CABARET CT SW, MARIETTA, GA 30064-3618
(770) 912-2436

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN110178
GA

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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