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1073923884
MIGUEL LARA
ATLANTA, GA
NPI
1073923884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2014-05-01
Last Update Date
2014-05-01
Business Address
-- MIGUEL LARA
3300 NORTHEAST EXPY NE BLDG 7
ATLANTA, GA 30341-3938
Phone number: 404-695-0369
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Mailing Address
-- MIGUEL LARA
3300 NORTHEAST EXPY NE BLDG 7
ATLANTA, GA 30341-3938
Phone number: 770-235-5698
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