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1336751494
KALUM LEIBA
CANTON, GA
NPI
1336751494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
KALUM LEIBA CAA
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115-8015
Phone number: 770-224-1000
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Mailing Address
KALUM LEIBA CAA
4708 ARDMORE LN
HOSCHTON, GA 30548-6227
Phone number: 404-563-2645
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