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1396525861
TATYANA DERVIL
DECATUR, GA
NPI
1396525861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
Dr. TATYANA DERVIL DPM
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-695-2611
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Mailing Address
Dr. TATYANA DERVIL DPM
3086 JONESBORO ST
ELLENWOOD, GA 30294-3619
Phone number:
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