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1619996949
EDSEL L HOUSEWORTH
ATLANTA, GA
NPI
1619996949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003516)
Enumeration Date
2006-07-18
Last Update Date
2010-10-22
Business Address
Mr. EDSEL L HOUSEWORTH AA
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309-1281
Phone number: 404-351-1745
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Mailing Address
Mr. EDSEL L HOUSEWORTH AA
1301 CONCORD TERRACE
SUNRISE, FL 33323-2843
Phone number: 800-243-3839
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