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1437852167
MICAELA OMPICO ALCALA
MARIETTA, GA
NPI
1437852167
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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
2023-03-22
Last Update Date
2023-03-22
Business Address
MICAELA OMPICO ALCALA
677 CHURCH ST NE LOWR LEVEL
MARIETTA, GA 30060-1101
Phone number: 470-956-2020
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Mailing Address
MICAELA OMPICO ALCALA
500 MONARCH LAKE WAY
STOCKBRIDGE, GA 30281-7796
Phone number: 678-431-3166
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