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1922613199
LUIS ENRIQUE ROMAN
DUNWOODY, GA
NPI
1922613199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QS1000X Clinic/Center, Student Health
Enumeration Date
2020-09-14
Last Update Date
2022-04-25
Business Address
Mr. LUIS ENRIQUE ROMAN MD Student
4500 N SHALLOWFORD RD
DUNWOODY, GA 30338-6476
Phone number: 404-778-6920
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Mailing Address
Mr. LUIS ENRIQUE ROMAN MD Student
4500 N SHALLOWFORD RD STE B
DUNWOODY, GA 30338-6476
Phone number: 404-778-6920
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