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1477999860
RAINA UDOM
STONE MOUNTAIN, GA
NPI
1477999860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 6417)
Enumeration Date
2013-05-13
Last Update Date
2013-05-13
Business Address
MS. RAINA UDOM P.A.-C
5470 MEMORIAL DR STE A
STONE MOUNTAIN, GA 30083-3268
Phone number: 404-296-8500
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Mailing Address
MS. RAINA UDOM P.A.-C
5470 MEMORIAL DR STE A
STONE MOUNTAIN, GA 30083-3268
Phone number:
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