KIZUWANDA BLACKBURNE

STOCKBRIDGE, GA
NPI1417020405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  5126)
Enumeration Date2006-11-16
Last Update Date2008-04-01
Business Address
-- KIZUWANDA BLACKBURNE RPAC
145 EAGLES WALK SUITE A
STOCKBRIDGE, GA 30281-7340
Phone number: 770-389-3855
Mailing Address
-- KIZUWANDA BLACKBURNE RPAC
145 EAGLES WALK SUITE A
STOCKBRIDGE, GA 30281-7340
Phone number: 770-389-3855
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