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1205527306
MISHA VESSALI
FORT GORDON, GA
NPI
1205527306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2023-05-18
Last Update Date
2023-05-18
Business Address
MISHA VESSALI
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905-5650
Phone number: 706-787-4657
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Mailing Address
MISHA VESSALI
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905-5650
Phone number:
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