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1295101913
TARA LYNN MARCHOK
MARIETTA, GA
NPI
1295101913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 2057)
Enumeration Date
2015-08-17
Last Update Date
2019-08-27
Business Address
TARA LYNN MARCHOK
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-794-0477
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Mailing Address
TARA LYNN MARCHOK
5701 SULLIVAN POINT DR
POWDER SPRINGS, GA 30127-8453
Phone number: 678-549-8908
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