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1134124514
NICHOLAS J DASTA
STOCKBRIDGE, GA
NPI
1134124514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA CHIR 007487)
Enumeration Date
2005-06-14
Last Update Date
2007-07-08
Business Address
-- NICHOLAS J DASTA DC
5124 N HENRY BLVD
STOCKBRIDGE, GA 30281-3232
Phone number: 770-474-6680
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Mailing Address
-- NICHOLAS J DASTA DC
8222 YALE DR
JONESBORO, GA 30236-4046
Phone number: 404-290-5374
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