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1952153744
EIDETTE LAMERA LISONDRA
ATHENS, GA
NPI
1952153744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
EIDETTE LAMERA LISONDRA MD
1270 PRINCE AVE STE 102
ATHENS, GA 30606-2700
Phone number: 706-475-7055
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Mailing Address
EIDETTE LAMERA LISONDRA MD
1270 PRINCE AVE STE 102
ATHENS, GA 30606-2700
Phone number: 706-475-7055
Copy
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