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1295824324
ALICE F. FAZEKAS
SMYRNA, GA
NPI
1295824324
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Former Name
ALICE E. FISHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 004858)
Enumeration Date
2006-10-12
Last Update Date
2010-06-11
Business Address
-- ALICE F. FAZEKAS PA
3903 S COBB DR SE SUITE 200
SMYRNA, GA 30080-8504
Phone number: 770-801-4646
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Mailing Address
-- ALICE F. FAZEKAS PA
3903 S COBB DR SE SUITE 200
SMYRNA, GA 30080-8504
Phone number: 770-801-4646
Copy
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