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1386609477
TAMA FULLER
ATLANTA, GA
NPI
1386609477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 021981)
Enumeration Date
2006-04-20
Last Update Date
2007-07-08
Business Address
-- TAMA FULLER
1100 LAKE HEARN DR NE SUITE 100
ATLANTA, GA 30342-1523
Phone number: 404-256-3178
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Mailing Address
-- TAMA FULLER
1100 LAKE HEARN DR NE SUITE 100
ATLANTA, GA 30342-1523
Phone number: 404-256-3178
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