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1013006279
KIM L GATES
STONE MOUNTAIN, GA
NPI
1013006279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT001641)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Mrs. KIM L GATES PT
2155 W PARK CT SUITE G/ H
STONE MOUNTAIN, GA 30087-3500
Phone number: 770-465-5084
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Mailing Address
Mrs. KIM L GATES PT
2155 W PARK CT SUITE G/ H
STONE MOUNTAIN, GA 30087-3500
Phone number: 770-465-5084
Copy
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