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1225190507
DAVID DEWAYNE DUBOSE
ATLANTA, GA
NPI
1225190507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 003423)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Mr. DAVID DEWAYNE DUBOSE PA
590 CASCADE AVE SW STE 400
ATLANTA, GA 30310-2467
Phone number: 404-758-8373
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Mailing Address
Mr. DAVID DEWAYNE DUBOSE PA
374 SILVERTOP DR
GRAYSON, GA 30017-4101
Phone number: 404-918-0803
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