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Individual

SHOSHANA SHARON KREINCES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1035 JUNIPER ST NE, ATLANTA, GA 30309-4012
(404) 235-0995
Mailing address
1035 JUNIPER ST NE, ATLANTA, GA 30309-4012
(404) 235-0995

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO06005
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
582449299
TAX ID
GA
Enumeration date
03/13/2007
Last updated
03/07/2012
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