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1164858650
TIAGO POLESELLI BRUNIERA
ATHENS, GA
NPI
1164858650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 007644)
Enumeration Date
2013-09-17
Last Update Date
2018-07-12
Business Address
Mr. TIAGO POLESELLI BRUNIERA PA-C
1199 PRINCE AVE FL 2
ATHENS, GA 30606
Phone number: 706-475-1700
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Mailing Address
Mr. TIAGO POLESELLI BRUNIERA PA-C
2727 PACES FERRY ROAD SE SUITE 1-1100 (ATTN: DENISE)
ATLANTA, GA 30339
Phone number: 470-271-3421
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