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1750945069
STEPHANIE YUI MOON
MARIETTA, GA
NPI
1750945069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 10595)
Enumeration Date
2019-04-23
Last Update Date
2022-11-14
Business Address
STEPHANIE YUI MOON
1640 POWERS FERRY RD SE
MARIETTA, GA 30067-5491
Phone number: 770-980-0000
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Mailing Address
STEPHANIE YUI MOON
1640 POWERS FERRY RD SE BLDG 30-100
MARIETTA, GA 30067-1440
Phone number: 770-980-0000
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