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1023664075
TRACY AIFUWA
LOGANVILLE, GA
NPI
1023664075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT014240)
Enumeration Date
2019-08-15
Last Update Date
2021-11-29
Business Address
TRACY AIFUWA PT, DPT
4743 ATLANTA HWY STE 100
LOGANVILLE, GA 30052-2686
Phone number: 770-466-9343
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Mailing Address
TRACY AIFUWA PT, DPT
2400 WISTERIA DR STE A
SNELLVILLE, GA 30078-2689
Phone number: 770-982-0102
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