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1366719957
DIMA IVONNE CLANTON
ATLANTA, GA
NPI
1366719957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: GA LDO002424)
Enumeration Date
2011-11-26
Last Update Date
2011-11-26
Business Address
Mrs. DIMA IVONNE CLANTON LDO
4166 BUFORD HWY NE STE S6-T5
ATLANTA, GA 30345-1081
Phone number: 404-855-3888
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Mailing Address
Mrs. DIMA IVONNE CLANTON LDO
2554 GADSEN WALK
DULUTH, GA 30097-4349
Phone number: 678-417-1712
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