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Organization
LENCIA TECHNOLOGY LLC
Active
Organization
LENCIA TECHNOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA TUTEIN (OWNER)
(770) 985-4257
Entity
Organization
Contact information
Practice address
1600 SUGARMAPLE LN SW, CONYERS, GA 30094-6282
(770) 985-4257
Mailing address
PO BOX 81793, CONYERS, GA 30013-9425
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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