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1871343475
FANTA KALLE
ATLANTA, GA
NPI
1871343475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-25
Last Update Date
2024-05-15
Business Address
Dr. FANTA KALLE DO, MSBS
720 WESTVIEW DR SW
ATLANTA, GA 30310-1458
Phone number: 404-756-1383
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Mailing Address
Dr. FANTA KALLE DO, MSBS
720 WESTVIEW DR SW
ATLANTA, GA 30310-1458
Phone number: 404-756-1383
Copy
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