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1568683654
JENNIFER IRENE DIVERSI
STOCKBRIDGE, GA
NPI
1568683654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: GA 010539)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. JENNIFER IRENE DIVERSI DMD
125 EAGLES POINTE PARKWAY STE 110
STOCKBRIDGE, GA 30281
Phone number: 770-507-6100
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Mailing Address
Dr. JENNIFER IRENE DIVERSI DMD
125 EAGLES POINTE PARKWAY STE 110
STOCKBRIDGE, GA 30281
Phone number: 770-507-6100
Copy
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