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1548722903
SAMIR ANTONIO BALLESTAS NAISSIR
ATLANTA, GA
NPI
1548722903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-04
Last Update Date
2019-04-04
Business Address
Dr. SAMIR ANTONIO BALLESTAS NAISSIR MD
550 PEACHTREE ST NE
ATLANTA, GA 30308-2212
Phone number: 404-778-3381
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Mailing Address
Dr. SAMIR ANTONIO BALLESTAS NAISSIR MD
550 PEACHTREE ST NE
ATLANTA, GA 30308-2212
Phone number: 404-778-3381
Copy
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