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1104190206
ADRIENNE DISISTO
ATLANTA, GA
NPI
1104190206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 006379)
Enumeration Date
2012-03-07
Last Update Date
2012-03-07
Business Address
-- ADRIENNE DISISTO PA-C
764 GREENWOOD AVE NE
ATLANTA, GA 30306-3721
Phone number: 917-326-0670
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Mailing Address
-- ADRIENNE DISISTO PA-C
764 GREENWOOD AVE NE
ATLANTA, GA 30306-3721
Phone number: 917-326-0670
Copy
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