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Individual

MRS. VANESSA EVA RAGUKONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3820 WINDERMERE PKWY STE 603, CUMMING, GA 30041-7020
(678) 607-8334
(678) 737-1823
Mailing address
3820 WINDERMERE PKWY STE 603, CUMMING, GA 30041-7020

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
92843
GA
2084P0800X
Psychiatry Physician
DOS-1726
HI
2084P0800X
Psychiatry Physician
T9219
TX

Other

Enumeration date
05/29/2014
Last updated
04/03/2024
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