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1063785962
TRACY FOSSAS BURKE
DUNWOODY, GA
NPI
1063785962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 006353)
Enumeration Date
2012-02-23
Last Update Date
2012-02-23
Business Address
-- TRACY FOSSAS BURKE
5471 CHAMBLEE DUNWOODY RD
DUNWOODY, GA 30338-4114
Phone number: 770-481-0889
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Mailing Address
-- TRACY FOSSAS BURKE
5471 CHAMBLEE DUNWOODY RD
DUNWOODY, GA 30338-4114
Phone number: 770-481-0889
Copy
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