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1326265968
STIFANOS T ALMEDOM
LILBURN, GA
NPI
1326265968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003619)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Mr. STIFANOS T ALMEDOM PA
2130 THORNDALE DR SW
LILBURN, GA 30047-4740
Phone number: 770-978-0149
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Mailing Address
Mr. STIFANOS T ALMEDOM PA
2130 THORNDALE DR SW
LILBURN, GA 30047-4740
Phone number: 770-978-0149
Copy
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