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1003182148
ELIZABETH IKEDA
ATLANTA, GA
NPI
1003182148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 006537)
Enumeration Date
2012-03-22
Last Update Date
2019-08-15
Business Address
ELIZABETH IKEDA
1365 CLIFTON RD NE
ATLANTA, GA 30322
Phone number: 404-778-8311
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Mailing Address
ELIZABETH IKEDA
1365 CLIFTON RD NE
ATLANTA, GA 30322-1013
Phone number: 404-778-8311
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