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1083852016
KATHRYN JALAL BAUMAN
DECATUR, GA
NPI
1083852016
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Former Name
KATHRYN JALAL SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 11501)
Enumeration Date
2009-01-29
Last Update Date
2024-07-11
Business Address
Mrs. KATHRYN JALAL BAUMAN
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 919-636-2709
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Mailing Address
Mrs. KATHRYN JALAL BAUMAN
162 MEAD RD
DECATUR, GA 30030-3621
Phone number: 919-636-2709
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