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1376650457
STACY ANN THALASSITES
LAWRENCEVILLE, GA
NPI
1376650457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: FL 1709122 NP-C)
Enumeration Date
2006-08-24
Last Update Date
2013-01-24
Business Address
Ms. STACY ANN THALASSITES NP-C
2277 BIRCHMORE CV
LAWRENCEVILLE, GA 30044-4587
Phone number: 954-235-1125
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Mailing Address
Ms. STACY ANN THALASSITES NP-C
2277 BIRCHMORE CV
LAWRENCEVILLE, GA 30044-4587
Phone number: 954-235-1125
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