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1770539801
ALLEN TERENCE RAPHAEL
SMYRNA, GA
NPI
1770539801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: GA POD001050)
Enumeration Date
2006-05-26
Last Update Date
2018-10-15
Business Address
ALLEN TERENCE RAPHAEL D.P.M.
3200 HIGHLANDS PARKWAY SUITE 100
SMYRNA, GA 30082-5196
Phone number: 770-319-5502
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Mailing Address
ALLEN TERENCE RAPHAEL D.P.M.
900 CIRCLE 75 PKWY. SE SUITE 200
ATLANTA, GA 30080-3084
Phone number: 678-426-2171
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