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1043501000
MIRNALIS MARTINEZ VEGA
DECATUR, GA
NPI
1043501000
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Former Name
MIRNA LIS MARTINEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 96939)
Enumeration Date
2011-04-26
Last Update Date
2023-08-23
Business Address
Dr. MIRNALIS MARTINEZ VEGA D.O
2124 CANDLER RD
DECATUR, GA 30032-5572
Phone number: 404-836-0272
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Mailing Address
Dr. MIRNALIS MARTINEZ VEGA D.O
2124 CANDLER RD
DECATUR, GA 30032-5572
Phone number: 404-836-0272
Copy
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