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1902077415
MARY CELESTE WADE
KENNESAW, GA
NPI
1902077415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2471C3402X Radiologic Technologist, Radiography
(Licence: VA 0120005300)
Enumeration Date
2008-03-12
Last Update Date
2008-03-12
Business Address
Ms. MARY CELESTE WADE RT
1029 TRAVELERS TRL NW
KENNESAW, GA 30144-2870
Phone number: 770-428-1026
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Mailing Address
Ms. MARY CELESTE WADE RT
1029 TRAVELERS TRL NW
KENNESAW, GA 30144-2870
Phone number: 770-428-1026
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