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1417996844
PROHBO - MARIETTA LLC
MARIETTA, GA
NPI
1417996844
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Entity Type
Organization
Authorized Contact
CHRISTOPHER GRANT
Owner
770-421-8094
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2006-06-04
Last Update Date
2020-08-22
Business Address
PROHBO - MARIETTA LLC
1455 BELLS FERRY RD SUITE 100
MARIETTA, GA 30066-6078
Phone number: 770-421-8094
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Mailing Address
PROHBO - MARIETTA LLC
1455 BELLS FERRY RD SUITE 100
MARIETTA, GA 30066-6078
Phone number: 770-421-8094
Copy
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