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1053652271
TALLEY S SOFIANOS
DAPHNE, AL
NPI
1053652271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 006755)
Enumeration Date
2013-03-13
Last Update Date
2024-02-28
Business Address
TALLEY S SOFIANOS PA-C
8832 US HIGHWAY 90
DAPHNE, AL 36526-8932
Phone number: 251-289-1786
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Mailing Address
TALLEY S SOFIANOS PA-C
14557 HIGHWAY 19 STE A
GRIFFIN, GA 30224-9582
Phone number: 678-688-1580
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