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1700965159
DIANA SPOCK ADEBULEHIN
DECATUR, GA
NPI
1700965159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 004458)
Enumeration Date
2006-11-06
Last Update Date
2007-07-09
Business Address
Mrs. DIANA SPOCK ADEBULEHIN P.A.-C.
1014 SYCAMORE DR STE. B
DECATUR, GA 30030-1644
Phone number: 404-299-1700
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Mailing Address
Mrs. DIANA SPOCK ADEBULEHIN P.A.-C.
200 IVY GLEN CIR
AVONDALE ESTATES, GA 30002-1766
Phone number: 404-550-5590
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