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1306008032
MARLYS JOEL
MARIETTA, GA
NPI
1306008032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 1614)
Enumeration Date
2008-06-25
Last Update Date
2008-06-25
Business Address
-- MARLYS JOEL CSA
4084 AUDUBON DR
MARIETTA, GA 30068-2605
Phone number: 770-985-4257
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Mailing Address
-- MARLYS JOEL CSA
4084 AUDUBON DRIVE
MARIETTA, GA 30068
Phone number: 770-985-4257
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