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1861798498
LA TANYA YOUNG THOMAS
ROSWELL, GA
NPI
1861798498
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Former Name
LA TANYA JERLINE YOUNG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 002767)
Enumeration Date
2011-01-29
Last Update Date
2011-01-29
Business Address
-- LA TANYA YOUNG THOMAS
555 SUN VALLEY DR SUITE G1
ROSWELL, GA 30076-5612
Phone number: 770-717-7000
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Mailing Address
-- LA TANYA YOUNG THOMAS
PO BOX 993
TUCKER, GA 30085-0993
Phone number: 404-429-3100
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