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UTETHIA AUDAIN PHLEBOTOMIST

>> Technician, Other >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1134713084

Individual Registrant:
 UTETHIA  AUDAIN PHLEBOTOMIST
Gender: F
Sole Proprietor

Location and contact information for practice:
4820 OLD BRIAR TRL  DOUGLASVILLE, GA 30135-2630 US
Tel: 772-626-3763  Fax: --

Contact information for business:
4820 OLD BRIAR TRL  DOUGLASVILLE, GA 30135-2630 US
Tel: --  Fax: --

Registration Information:
NPI: 1134713084
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y247200000XTechnologists, Technicians & Other Technical Service Providers
Technician, Other

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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