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1962722041
ILIANA DIAZ HAWKINS
KENNESAW, GA
NPI
1962722041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2010-06-10
Last Update Date
2021-06-02
Business Address
Mrs. ILIANA DIAZ HAWKINS CSA
3450 ACWORTH DUE WEST RD NW BLDG 200 STE 220
KENNESAW, GA 30144-1001
Phone number: 770-794-6643
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Mailing Address
Mrs. ILIANA DIAZ HAWKINS CSA
3450 ACWORTH DUE WEST RD NW BLDG 200 STE 220
KENNESAW, GA 30144-1001
Phone number: 770-794-6643
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