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1003392903
JUSTIN DESANDRE
ACWORTH, GA
NPI
1003392903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-07-13
Last Update Date
2018-07-13
Business Address
JUSTIN DESANDRE
4900 IVEY RD NW STE 1001
ACWORTH, GA 30101-4106
Phone number: 770-917-0924
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Mailing Address
JUSTIN DESANDRE
PO BOX 724557
ATLANTA, GA 31139-1557
Phone number:
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