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1659394542
INGRID TANUBRATA
DECATUR, GA
NPI
1659394542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 058227)
Enumeration Date
2006-07-25
Last Update Date
2014-10-09
Business Address
Dr. INGRID TANUBRATA M.D.
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
Dr. INGRID TANUBRATA M.D.
10915 OLD STONE CT
DULUTH, GA 30097-8416
Phone number: 404-435-6457
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