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1003936790
LISA LAJUNE SMITH
FAYETTEVILLE, GA
NPI
1003936790
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Other Name
LISA MCGHEE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 2674)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Mrs. LISA LAJUNE SMITH PT, M.Ed.
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 770-719-7183
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Mailing Address
Mrs. LISA LAJUNE SMITH PT, M.Ed.
120 WYNGATE WAY
FAYETTEVILLE, GA 30215-2458
Phone number: 770-719-7183
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