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1386875862
SUNCERERAE NATEL SMITH
NORCROSS, GA
NPI
1386875862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 115523)
Enumeration Date
2009-08-02
Last Update Date
2009-08-02
Business Address
-- SUNCERERAE NATEL SMITH cfa
512 WYNFIELD TRCE
NORCROSS, GA 30092-4554
Phone number: 770-559-0721
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Mailing Address
-- SUNCERERAE NATEL SMITH cfa
PO BOX 768138
ROSWELL, GA 30076-8138
Phone number: 770-559-0721
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