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1023543246
ERIC CHEN
MARIETTA, GA
NPI
1023543246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: GA 96)
Additional Taxonomies
222Z00000X Orthotist
(Licence: GA 96)
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
-- ERIC CHEN CPO
61 WHITCHER ST NE STE 2120
MARIETTA, GA 30060-1180
Phone number: 770-544-1145
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Mailing Address
-- ERIC CHEN CPO
61 WHITCHER ST NE STE 2120
MARIETTA, GA 30060-1180
Phone number: 770-544-1145
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