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1104011626
MARKEBBA SHIRAY SKYLARK
STONE MOUNTAIN, GA
NPI
1104011626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 004421)
Enumeration Date
2007-09-07
Last Update Date
2013-01-25
Business Address
MARKEBBA SHIRAY SKYLARK PA-C
1192A ROCKBRIDGE RD
STONE MOUNTAIN, GA 30087-2903
Phone number: 770-925-2010
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Mailing Address
MARKEBBA SHIRAY SKYLARK PA-C
1192A ROCKBRIDGE RD
STONE MOUNTAIN, GA 30087-2903
Phone number: 770-925-2010
Copy
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