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MRS. SHANTA YVETTE TRIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
151 ELLIS STREET, CARE BUILDING, ATLANTA, GA 30303
(404) 730-4024
Mailing address
99 JESSE HILL JR DRIVE SE, ROOM 402 ALDREDGE HEALTH CENTER, ATLANTA, GA 30303

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN170105
GA

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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