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1215931555
VANITCHA R PINTAVORN
EVANS, GA
NPI
1215931555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207KA0200X Allergy & Immunology Allergy
(Licence: GA 048291)
Enumeration Date
2005-06-01
Last Update Date
2008-07-11
Business Address
VANITCHA R PINTAVORN MD
418 TOWN PARK BLVD SUITE 1A
EVANS, GA 30809-3091
Phone number: 706-650-1662
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Mailing Address
VANITCHA R PINTAVORN MD
418 TOWN PARK BLVD SUITE 1A
EVANS, GA 30809-3091
Phone number: 706-650-1662
Copy
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