Mary Blaesing

NPI #1447327564 in Lawrenceville, Georgia

Provider Information

NPI Number: 1447327564
Entity Type: Individual
Name: Mary Blaesing
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 30, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 1688 LAWRENCEVILLE HWY
City: Lawrenceville
State: Georgia
ZIP Code: 30044-4608
Phone: (770) 995-2379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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