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1013154483
TERESA CLEAVES
JONESBORO, GA
NPI
1013154483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 03012108)
Enumeration Date
2009-01-07
Last Update Date
2009-01-07
Business Address
-- TERESA CLEAVES CSA
804 RIVER MIST DR
JONESBORO, GA 30238-5748
Phone number: 770-985-4257
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Mailing Address
-- TERESA CLEAVES CSA
804 RIVER MIST DR
JONESBORO, GA 30238-5748
Phone number: 770-985-4257
Copy
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