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1831485861
TELITA ANTHONY
KENNESAW, GA
NPI
1831485861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 2898)
Enumeration Date
2011-06-28
Last Update Date
2014-04-03
Business Address
-- TELITA ANTHONY CSA
3649 BANCROFT MAIN NW
KENNESAW, GA 30144-6012
Phone number: 770-905-3089
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Mailing Address
-- TELITA ANTHONY CSA
3649 BANCROFT MAIN NW
KENNESAW, GA 30144-6012
Phone number: 770-905-3089
Copy
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