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1336636679
MINELA MAHMUTOVIC
LAWRENCEVILLE, GA
NPI
1336636679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other Surgical Assistant
Enumeration Date
2018-04-20
Last Update Date
2018-05-15
Business Address
MINELA MAHMUTOVIC CST/CSFA
930 NEW HOPE RD SUITE 11-526
LAWRENCEVILLE, GA 30045
Phone number: 404-921-4973
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Mailing Address
MINELA MAHMUTOVIC CST/CSFA
930 NEW HOPE RD SUITE 11-526
LAWRENCEVILLE, GA 30045-6576
Phone number: 404-921-4973
Copy
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