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1710084793
LEA A DANIELSEN
CUMMING, GA
NPI
1710084793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 050877)
Enumeration Date
2006-09-20
Last Update Date
2011-12-12
Business Address
LEA A DANIELSEN MD
5435 OAKRUN CIR
CUMMING, GA 30040-1211
Phone number: 770-903-5000
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Mailing Address
LEA A DANIELSEN MD
5435 OAKRUN CIR
CUMMING, GA 30040-1211
Phone number: 770-903-5000
Copy
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