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1003203720
PRISCILLA LAVALLEE KANE
ROSWELL, GA
NPI
1003203720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002963)
Enumeration Date
2015-04-21
Last Update Date
2015-04-21
Business Address
-- PRISCILLA LAVALLEE KANE PTA
6195 PATTINGHAM DR
ROSWELL, GA 30075-3969
Phone number: 770-587-0519
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Mailing Address
-- PRISCILLA LAVALLEE KANE PTA
6195 PATTINGHAM DR
ROSWELL, GA 30075-3969
Phone number: 770-587-0519
Copy
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