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1043838501
MARINE ISAKADZE
METAIRIE, LA
NPI
1043838501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-07-10
Last Update Date
2020-07-28
Business Address
MARINE ISAKADZE MD
2308 HOUMA BLVD APT 701
METAIRIE, LA 70001-6523
Phone number: 404-910-9661
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Mailing Address
MARINE ISAKADZE MD
2308 HOUMA BLVD APT 701
METAIRIE, LA 70001-6523
Phone number: 404-910-9661
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