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1033251764
MARY SUBRA
MCDONOUGH, GA
NPI
1033251764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 003817)
Enumeration Date
2007-02-12
Last Update Date
2012-09-25
Business Address
-- MARY SUBRA OT
191 PITTYPAT PL
MCDONOUGH, GA 30253-5554
Phone number: 770-601-5044
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Mailing Address
-- MARY SUBRA OT
191 PITTYPAT PL
MCDONOUGH, GA 30253-5554
Phone number: 770-601-5044
Copy
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