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Individual

MRS. PAULA M. DESROCHES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1064
(404) 686-2382
(404) 727-5405
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1064
(404) 686-2382
(404) 727-5405

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
136363
GA

Other

Enumeration date
08/12/2010
Last updated
08/12/2010
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