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1013022417
SUSAN HARBISON MAYNE
MARIETTA, GA
NPI
1013022417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT002955)
Enumeration Date
2006-08-19
Last Update Date
2007-07-09
Business Address
-- SUSAN HARBISON MAYNE PT
2217 ROSWELL RD. SUITE A100
MARIETTA, GA 30062
Phone number: 770-321-6600
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Mailing Address
-- SUSAN HARBISON MAYNE PT
310 TECHNOLOGY PKWY
NORCROSS, GA 30092-2932
Phone number: 770-441-1580
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