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1326040114
DPM BRISSETT NRGA LLC
LITHONIA, GA
NPI
1326040114
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Entity Type
Organization
Authorized Contact
ROBERT P BRISSETT
Dpm
646-721-2072
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: GA POD000950)
Enumeration Date
2005-08-11
Last Update Date
2020-08-22
Business Address
DPM BRISSETT NRGA LLC
5124 GROVE FIELD PT
LITHONIA, GA 30038-2387
Phone number: 646-721-2072
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Mailing Address
DPM BRISSETT NRGA LLC
5124 GROVE FIELD PT
LITHONIA, GA 30038-2387
Phone number: 646-721-2072
Copy
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