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1043960396
SETH ILLU
GAINESVILLE, GA
NPI
1043960396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
SETH ILLU MD
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501-3715
Phone number: 770-219-8730
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Mailing Address
SETH ILLU MD
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501-3715
Phone number: 770-219-8730
Copy
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