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1548362718
GENISE AUTRY EVANS
CONYERS, GA
NPI
1548362718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN012623)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
Dr. GENISE AUTRY EVANS DDS
1816 LAKEFIELD CT
CONYERS, GA 30013
Phone number: 770-860-8760
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Mailing Address
Dr. GENISE AUTRY EVANS DDS
1263 SAXONY DR
CONYERS, GA 30013
Phone number: 404-429-5225
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