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1083644538
ALBERTA CANADY LANE
DECATUR, GA
NPI
1083644538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 615)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
Ms. ALBERTA CANADY LANE P.A,
1670 CLAIRMONT RD 111B
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
Ms. ALBERTA CANADY LANE P.A,
3698 EMBRY CIR
ATLANTA, GA 30341-4355
Phone number: 770-455-1385
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