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1013795004
CLAYTON LINDON COFER
WOODSTOCK, GA
NPI
1013795004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: GA PT016869)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
CLAYTON LINDON COFER
655 MOLLY LN SUITE 100
WOODSTOCK, GA 30189
Phone number: 770-517-1080
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Mailing Address
CLAYTON LINDON COFER
515 WATERFALL DR
CANTON, GA 30114-8857
Phone number:
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