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1720337439
HERBERT LOUIS COUSIN
ACWORTH, GA
NPI
1720337439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2012-09-10
Last Update Date
2021-11-08
Business Address
HERBERT LOUIS COUSIN CSA
2537 CEDARCREST RD STE 305-63
ACWORTH, GA 30101-8900
Phone number: 762-235-4343
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Mailing Address
HERBERT LOUIS COUSIN CSA
2537 CEDARCREST RD STE 305-63
ACWORTH, GA 30101-8900
Phone number: 762-235-4343
Copy
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