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Individual

HENRIETTA IGALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN ,BSN

Contact information

Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(404) 454-3088
Mailing address
1642 MISSION PARK DR, LOGANVILLE, GA 30052-7509
(404) 454-3088

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162076
GA

Other

Enumeration date
04/17/2017
Last updated
04/17/2017
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