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1083878540
TONI JANELL IDIAQUEZ
CARROLLTON, GA
NPI
1083878540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: GA 000063)
Enumeration Date
2008-07-14
Last Update Date
2008-07-14
Business Address
Mrs. TONI JANELL IDIAQUEZ LAc
328 MAPLE ST
CARROLLTON, GA 30117-3235
Phone number: 770-313-0106
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Mailing Address
Mrs. TONI JANELL IDIAQUEZ LAc
4685 CHAMBLEE DUNWOODY RD J3
ATLANTA, GA 30338-6323
Phone number: 770-313-0106
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