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1700893138
MARVIN BLASE
SANDY SPRINGS, GA
NPI
1700893138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA 16778)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- MARVIN BLASE MD
990 RIVERSIDE TRUCE
SANDY SPRINGS, GA 30328-1640
Phone number: 770-671-1312
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Mailing Address
-- MARVIN BLASE MD
POB 720440
SANDY SPRINGS, GA 30358-2440
Phone number: 770-671-1312
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