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1578862173
MARY KATHLEEN HUMPHRIES
DECATUR, GA
NPI
1578862173
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Former Name
MARY KATHLEEN COYNE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 71988)
Enumeration Date
2011-03-22
Last Update Date
2014-08-22
Business Address
Mrs. MARY KATHLEEN HUMPHRIES D.O.
2840 LAVISTA RD STE A
DECATUR, GA 30033-1350
Phone number: 404-639-9180
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Mailing Address
Mrs. MARY KATHLEEN HUMPHRIES D.O.
2840 LAVISTA RD STE A
DECATUR, GA 30033-1350
Phone number: 404-639-9180
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