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1629240189
TEODOR VITENBERG BARNETT
DECATUR, GA
NPI
1629240189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 5289)
Enumeration Date
2008-03-25
Last Update Date
2008-04-07
Business Address
-- TEODOR VITENBERG BARNETT P.A.-C
878 VISTAVIA CIR
DECATUR, GA 30033-3425
Phone number: 512-577-7226
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Mailing Address
-- TEODOR VITENBERG BARNETT P.A.-C
878 VISTAVIA CIR
DECATUR, GA 30033-3425
Phone number: 512-577-7226
Copy
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