Provider Information for 1124660790
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BAPUAMOYO KAMBEYA LAPC
Sex: Female
NPI: 1124660790
Last Updated: 2019-10-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1124660790 | ||||||||
| Enumeration Date | 2019-10-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2505 SKYLARS MILL WAY SNELLVILLE, GA 30078-5752 United States Phone: 678-485-7070 | Fax: | ||||||||
| Primary Practice Address | 2505 SKYLARS MILL WAY SNELLVILLE, GA 30078-5752 United States Phone: 678-485-7070 | Fax: | ||||||||
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