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1215631007
ROXANA YAMILEHT LAZO GONZALEZ
MARIETTA, GA
NPI
1215631007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
ROXANA YAMILEHT LAZO GONZALEZ MD
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 470-956-3860
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Mailing Address
ROXANA YAMILEHT LAZO GONZALEZ MD
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number:
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