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Organization

TASOBB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANA QUEIROZ (OFFICE MANAGER)
(404) 910-2690
Entity
Organization

Contact information

Practice address
10779 ALPHARETTA HWY, ROSWELL, GA 30076-5677
(404) 910-2690
Mailing address
135 N RIVER DR UNIT E, ATLANTA, GA 30350-1906
(404) 910-2690

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
08/18/2022
Last updated
08/22/2022
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