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Case Number and Status

Case Number: I-200-15209-998149

Submitted on:

CERTIFIED

on:

Employment

From: 2016-01-10

To: 2018-05-15 (856 days)

Address

3063 Peachtree Ind. Blvd.
Duluth, GA 30097

Phone

6783900120


Attorney Summary

Location
New York, NY

Job Summary

Job Title
Physician
City and State
Marietta, GA
County
Cobb

Soc Code
29-1199.00
Naics Code
Industry Code
621111