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1922637784
MICHAEL LANDIS
ATHENS, GA
NPI
1922637784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
MICHAEL LANDIS
1270 PRINCE AVE STE 201
ATHENS, GA 30606-2789
Phone number: 706-475-7055
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Mailing Address
MICHAEL LANDIS
1199 PRINCE AVE # 70
ATHENS, GA 30606-2797
Phone number:
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