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1821782962
ELISHA KANG
DULUTH, GA
NPI
1821782962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156F00000X Technician/Technologist
(Licence: GA 1061513)
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
ELISHA KANG R.T.(R)
4095 IVY RUN CIR
DULUTH, GA 30096-5370
Phone number: 470-774-9764
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Mailing Address
ELISHA KANG R.T.(R)
4095 IVY RUN CIR
DULUTH, GA 30096-5370
Phone number: 470-774-9764
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