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1972856961
SHIRLEY EPHRAIM BASSEY
MARIETTA, GA
NPI
1972856961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 6593)
Enumeration Date
2012-10-16
Last Update Date
2012-10-16
Business Address
-- SHIRLEY EPHRAIM BASSEY PA
55 WHITCHER STREET SUITE 160
MARIETTA, GA 30060
Phone number: 770-422-1372
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Mailing Address
-- SHIRLEY EPHRAIM BASSEY PA
2187 CHEROKEE VALLEY CIR
LITHONIA, GA 30058-5365
Phone number: 404-285-4380
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