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1417005604
MAGDALENA LOZA
LAWRENCEVILLE, GA
NPI
1417005604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 049374701)
Enumeration Date
2007-01-06
Last Update Date
2007-07-08
Business Address
-- MAGDALENA LOZA
357 MILL RIDGE WAY
LAWRENCEVILLE, GA 30045-5583
Phone number: 678-518-4663
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Mailing Address
-- MAGDALENA LOZA
357 MILL RIDGE WAY
LAWRENCEVILLE, GA 30045-5583
Phone number: 678-518-4663
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