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Mary Blaesing
Specialist in Lawrenceville, Georgia
NPI 1447327564

Mary Blaesing is a Specialist based in Lawrenceville, GA. Mary Blaesing practices in Lawrenceville, GA. The NPI Number for Mary Blaesing is 1447327564 and holds a License No. OT002459 (Georgia).

The current practice location address for Mary Blaesing is 1688 Lawrenceville Hwy, Lawrenceville, GA and can be reached out via phone at 770-995-2379 and via fax at 770-995-2385.

Location: 1688 Lawrenceville Hwy, Lawrenceville, GA, 30044-4608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447327564
Provider Name
Mary Blaesing
Credential
Provider Entity Type
Individual
Gender
Female
Address
1688 Lawrenceville Hwy, Lawrenceville, GA, 30044-4608
Phone Number
770-995-2379
Fax Number
770-995-2385
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10037741 05 GA
306071 05 GA
institution
Provider Business Practice Location Address Details
Address
1688 Lawrenceville Hwy
City
Lawrenceville
State
Georgia
Zip
30044-4608
Phone Number
770-995-2379
Fax Number
770-995-2385
person
Provider Business Mailing Address Details
Address
1688 Lawrenceville Hwy
City
Lawrenceville
State
Georgia
Zip
30044-4608
Phone Number
770-995-2379
Fax Number
770-995-2385
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OT002459 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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