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1174804702
RAYLLENSONS ITACY
CANTON, GA
NPI
1174804702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 006147)
Enumeration Date
2011-09-09
Last Update Date
2016-04-05
Business Address
-- RAYLLENSONS ITACY P.A.
2020 CUMMING HIGHWAY SUITE 102
CANTON, GA 30115
Phone number: 678-593-1295
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Mailing Address
-- RAYLLENSONS ITACY P.A.
550 PEACHTREE ST NE SUITE 1600
ATLANTA, GA 30308-2212
Phone number: 404-881-1094
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