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1336297936
LEROY FASS
ATLANTA, GA
NPI
1336297936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: GA 052501)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- LEROY FASS MD
1472 WEMBLEY CT NE
ATLANTA, GA 30329-3968
Phone number: 404-321-6250
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Mailing Address
-- LEROY FASS MD
1472 WEMBLEY CT NE
ATLANTA, GA 30329-3968
Phone number: 404-321-6250
Copy
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