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1679855001
SHIMA LAVIGNO
SUWANEE, GA
NPI
1679855001
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Former Name
SHIMA MANSOURI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 6185)
Enumeration Date
2011-09-12
Last Update Date
2021-04-27
Business Address
SHIMA LAVIGNO PA-C
3890 JOHNS CREEK PKWY STE 120
SUWANEE, GA 30024-1285
Phone number: 678-472-9985
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Mailing Address
SHIMA LAVIGNO PA-C
3890 JOHNS CREEK PKWY STE 120
SUWANEE, GA 30024-1285
Phone number: 678-472-9985
Copy
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