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1720137029
KATHY BRUSTER
ATLANTA, GA
NPI
1720137029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA 11406)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- KATHY BRUSTER
1901 PHOENIX BLVD
ATLANTA, GA 30349-5588
Phone number: 770-991-0913
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Mailing Address
-- KATHY BRUSTER
912 CARRIAGE PATH SE
SMYRNA, GA 30082-4761
Phone number:
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