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1063427540
EMIL GERALD BOUSSON
DECATUR, GA
NPI
1063427540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1100X Technician/Technologist, Ophthalmic
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Mr. EMIL GERALD BOUSSON COT, CRA, RDMS, ROUB
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
Mr. EMIL GERALD BOUSSON COT, CRA, RDMS, ROUB
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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