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1437726650
ANNE DEATRICK
DECATUR, GA
NPI
1437726650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN122293)
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
ANNE DEATRICK
144 S COLUMBIA DR
DECATUR, GA 30030-4103
Phone number: 404-328-7171
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Mailing Address
ANNE DEATRICK
7803 AMBER GLEN CT
LOUISVILLE, KY 40220-1578
Phone number:
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