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Individual

ANNABEL ROSADO FLUNKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.A.

Contact information

Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-9996
Mailing address
PO BOX 3559, SUWANEE, GA 30024-0993
(770) 979-9996
(770) 979-1202

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
002454
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002532E
GA
01
P00322395
RAILROAD
GA
Enumeration date
11/17/2005
Last updated
06/28/2010
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