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1194790139
KENNETH C. HOLBROOK
AUSTELL, GA
NPI
1194790139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003877)
Enumeration Date
2006-02-22
Last Update Date
2011-05-20
Business Address
KENNETH C. HOLBROOK PA
2041 MESA VALLEY WAY SUITE 100
AUSTELL, GA 30106-6828
Phone number: 770-944-1100
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Mailing Address
KENNETH C. HOLBROOK PA
2041 MESA VALLEY WAY SUITE 100
AUSTELL, GA 30106-6828
Phone number: 770-944-1100
Copy
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