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1396070744
GRACE MEDICAL PRACTICE LTD
EAST POINT, GA
NPI
1396070744
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Entity Type
Organization
Authorized Contact
FIDELIA O OSINUBI
CEO
404-861-0291
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 001305)
Enumeration Date
2009-10-02
Last Update Date
2009-10-02
Business Address
GRACE MEDICAL PRACTICE LTD
1136 CLEVELAND AVE STE 309
EAST POINT, GA 30344-3618
Phone number: 404-763-1240
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Mailing Address
GRACE MEDICAL PRACTICE LTD
PO BOX 20156
ATLANTA, GA 30325-0156
Phone number: 404-861-0291
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