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1316139694
MARIO LUQUE
ATLANTA, GA
NPI
1316139694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date
2007-08-10
Last Update Date
2007-08-10
Business Address
-- MARIO LUQUE CSA-FA
3078 CLAIRMONT RD NE APT 522
ATLANTA, GA 30329-1666
Phone number: 404-668-6112
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Mailing Address
-- MARIO LUQUE CSA-FA
3078 CLAIRMONT RD NE APT 522
ATLANTA, GA 30329-1666
Phone number: 404-668-6112
Copy
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