GINA D WISE

FAYETTEVILLE, GA
NPI1932416617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: GA  LDO000890)
Enumeration Date2010-09-02
Last Update Date2010-09-02
Business Address
-- GINA D WISE
101 YORKTOWN DR SUITE 225
FAYETTEVILLE, GA 30214-1568
Phone number: 770-460-2331
Mailing Address
-- GINA D WISE
101 YORKTOWN DR SUITE 225
FAYETTEVILLE, GA 30214-1568
Phone number: 770-460-2331
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