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1003693870
LIVE TO THE MAX LLC
CANTON, GA
NPI
1003693870
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Entity Type
Organization
Authorized Contact
KATHERINE ROSE LILES
Owner
229-894-1353
Organization Subpart ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2023-09-13
Last Update Date
2023-10-07
Business Address
LIVE TO THE MAX LLC
206 BRIDGEWATER TRL
CANTON, GA 30115-4566
Phone number: 229-894-1353
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Mailing Address
LIVE TO THE MAX LLC
206 BRIDGEWATER TRL
CANTON, GA 30115-4566
Phone number: 229-894-1353
Copy
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