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1992490684
SHIVANI JAGDISH PATEL
DECATUR, GA
NPI
1992490684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-07
Last Update Date
2023-04-07
Business Address
SHIVANI JAGDISH PATEL DPM
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number: 404-501-1000
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Mailing Address
SHIVANI JAGDISH PATEL DPM
7154 BELCREST DR
JOHNS CREEK, GA 30097-1599
Phone number: 678-780-9647
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