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1053736645
KELLY FUTRAL LACLAIR
ATLANTA, GA
NPI
1053736645
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Former Name
KELLY N FUTRAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 2570)
Enumeration Date
2014-02-19
Last Update Date
2020-04-22
Business Address
KELLY FUTRAL LACLAIR PAC
980 JOHNSON FERRY RD STE 490
ATLANTA, GA 30342-1607
Phone number: 404-254-3160
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Mailing Address
KELLY FUTRAL LACLAIR PAC
980 JOHNSON FERRY RD STE 490
ATLANTA, GA 30342-1607
Phone number: 404-254-3160
Copy
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