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1265772248
MICHALE L KANGELOS
WOODSTOCK, GA
NPI
1265772248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 139732)
Enumeration Date
2013-02-27
Last Update Date
2018-07-20
Business Address
Mrs. MICHALE L KANGELOS CSFA
313 BALABAN CIR
WOODSTOCK, GA 30188
Phone number: 678-848-4351
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Mailing Address
Mrs. MICHALE L KANGELOS CSFA
313 BALABAN CIR
WOODSTOCK, GA 30188-5189
Phone number: 678-848-4351
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