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1043508583
DANIEL KYLE WIESMAN
DECATUR, GA
NPI
1043508583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
170300000X Genetic Counselor, MS
Enumeration Date
2011-07-19
Last Update Date
2011-07-19
Business Address
-- DANIEL KYLE WIESMAN
2165 N DECATUR RD
DECATUR, GA 30033-5307
Phone number: 404-778-1284
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Mailing Address
-- DANIEL KYLE WIESMAN
2165 N DECATUR RD
DECATUR, GA 30033-5307
Phone number: 404-778-1284
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