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1639516495
TATIANA VLADIMIROVNA
ATLANTA, GA
NPI
1639516495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 73873)
Enumeration Date
2013-06-03
Last Update Date
2016-06-27
Business Address
TATIANA VLADIMIROVNA D.O.
1364 CLIFTON RD NE
ATLANTA, GA 30322-1059
Phone number: 757-651-3612
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Mailing Address
TATIANA VLADIMIROVNA D.O.
1364 CLIFTON RD NE
ATLANTA, GA 30322-1059
Phone number: 757-651-3612
Copy
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