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1568085157
ROSS W DEVANTIER
WOODSTOCK, GA
NPI
1568085157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2020-05-19
Last Update Date
2022-06-07
Business Address
ROSS W DEVANTIER
403 WOODCHASE WAY
WOODSTOCK, GA 30188-2052
Phone number: 678-956-1272
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Mailing Address
ROSS W DEVANTIER
403 WOODCHASE WAY
WOODSTOCK, GA 30188-2052
Phone number: 678-956-1272
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