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1528338589
KIM SUE SHAVER
NORCROSS, GA
NPI
1528338589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA 1223x0400x)
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
-- KIM SUE SHAVER
5703 DENTON CIR
NORCROSS, GA 30092-2079
Phone number: 770-734-0045
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Mailing Address
-- KIM SUE SHAVER
5703 DENTON CIR
NORCROSS, GA 30092-2079
Phone number: 770-734-0045
Copy
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