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1134221823
LISA DEZIEL
ALPHARETTA, GA
NPI
1134221823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: GA OT003055)
Enumeration Date
2006-09-02
Last Update Date
2010-03-18
Business Address
-- LISA DEZIEL OT
605 SOUTHFIELD PL
ALPHARETTA, GA 30004-4255
Phone number: 404-429-8291
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Mailing Address
-- LISA DEZIEL OT
605 SOUTHFIELD PL
ALPHARETTA, GA 30004-4255
Phone number: 770-752-4734
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