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1033639075
PHALLON THOMAS
KENNESAW, GA
NPI
1033639075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN25559)
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
PHALLON THOMAS RN
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone number: 770-427-0147
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Mailing Address
PHALLON THOMAS RN
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone number: 770-427-0147
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