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1265457501
STACEY NICOLE DESAMOURS
DECATUR, GA
NPI
1265457501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZF0201X Pathology, Forensic Pathology
(Licence: GA 62786)
Enumeration Date
2006-07-13
Last Update Date
2019-08-12
Business Address
STACEY NICOLE DESAMOURS MD
3121 PANTHERSVILLE RD
DECATUR, GA 30034-3830
Phone number: 404-270-8186
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Mailing Address
STACEY NICOLE DESAMOURS MD
3121 PANTHERSVILLE RD
DECATUR, GA 30034-3830
Phone number: 404-270-8186
Copy
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