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1376516617
WALTER R BLASE
ATLANTA, GA
NPI
1376516617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: GA AT000742)
Enumeration Date
2006-02-08
Last Update Date
2007-07-08
Business Address
Mr. WALTER R BLASE M.S., A.T.C
101 MARIETTA ST NW SUITE 1900
ATLANTA, GA 30303-2720
Phone number: 404-878-3513
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Mailing Address
Mr. WALTER R BLASE M.S., A.T.C
605 BASSETT CT SE
SMYRNA, GA 30080-5528
Phone number: 678-842-0212
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