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1326006552
ROBERT MICHAEL LICATA
MARIETTA, GA
NPI
1326006552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 025457)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
-- ROBERT MICHAEL LICATA MD
3000 JOHNSON FERRY RD SUITE 204
MARIETTA, GA 30062-5683
Phone number: 770-993-2922
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Mailing Address
-- ROBERT MICHAEL LICATA MD
3000 JOHNSON FERRY RD SUITE 204
MARIETTA, GA 30062-5683
Phone number: 770-993-2922
Copy
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