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1386369551
ALEXIS YEN TANG
GAINESVILLE, GA
NPI
1386369551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 11224)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
ALEXIS YEN TANG CAA
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-532-7179
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Mailing Address
ALEXIS YEN TANG CAA
1488 JESSE JEWELL PKWY SE STE 201
GAINESVILLE, GA 30501-3804
Phone number: 770-532-7179
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