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1003625492
ALYSSA DANIELE ANTONICELLO
CUMMING, GA
NPI
1003625492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: GA 013299)
Enumeration Date
2024-12-31
Last Update Date
2024-12-31
Business Address
ALYSSA DANIELE ANTONICELLO
2030 BARRETT DOWNS DR
CUMMING, GA 30040-9657
Phone number: 859-338-2772
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Mailing Address
ALYSSA DANIELE ANTONICELLO
2030 BARRETT DOWNS DR
CUMMING, GA 30040-9657
Phone number: 859-338-2772
Copy
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