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1265495592
LENA A MARK
MARIETTA, GA
NPI
1265495592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 003507)
Enumeration Date
2006-04-08
Last Update Date
2019-10-29
Business Address
LENA A MARK PAAA
2540 WINDY HILL RD SE
MARIETTA, GA 30067-8605
Phone number: 770-644-1274
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Mailing Address
LENA A MARK PAAA
PO BOX 155
AUSTELL, GA 30168-1002
Phone number: 770-732-3649
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