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1306274527
BRYAN MURIEL
STONE MOUNTAIN, GA
NPI
1306274527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QH0100X Clinic/Center Health Service
(Licence: NC 8951)
Enumeration Date
2013-10-25
Last Update Date
2013-10-25
Business Address
MR. BRYAN MURIEL COTA
5141 STONE MOUNTAIN HWY LOT 13
STONE MOUNTAIN, GA 30087-3454
Phone number: 386-747-9918
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Mailing Address
MR. BRYAN MURIEL COTA
5141 STONE MOUNTAIN HWY LOT 13
STONE MOUNTAIN, GA 30087-3454
Phone number: 386-747-9918
Copy
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