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1528557782
TANYA WELLMAKER
ALPHARETTA, GA
NPI
1528557782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
(Licence: GA CO119948)
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
TANYA WELLMAKER CertifiedHairLossSpe
11180 STATE BRIDGE RD STE 402
ALPHARETTA, GA 30022-7484
Phone number: 404-334-5456
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Mailing Address
TANYA WELLMAKER CertifiedHairLossSpe
620 WILLOW HEIGHTS DR
ATLANTA, GA 30328-3441
Phone number: 678-830-4315
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