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1295981165
MANUEL NICK TISSURA
DECATUR, GA
NPI
1295981165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: GA 6927)
Enumeration Date
2008-08-12
Last Update Date
2008-08-12
Business Address
Dr. MANUEL NICK TISSURA
2771 LAWRENCEVILLE HWY SUITE 201
DECATUR, GA 30033-2530
Phone number: 678-990-8034
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Mailing Address
Dr. MANUEL NICK TISSURA
2771 LAWRENCEVILLE HWY SUITE 201
DECATUR, GA 30033-2530
Phone number: 678-990-8034
Copy
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