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1912581885
FANTASIA REMONVIL
FAYETTEVILLE, GA
NPI
1912581885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 11418)
Enumeration Date
2021-05-07
Last Update Date
2023-03-04
Business Address
FANTASIA REMONVIL
1330 GA-74
FAYETTEVILLE, GA 30215-1458
Phone number: 770-631-2502
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Mailing Address
FANTASIA REMONVIL
175 BLOSSOM WOOD DRIVE
SENOIA, GA 30276
Phone number: 404-717-4445
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