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1033286679
LAURA CADLE WALL
GROVETOWN, GA
NPI
1033286679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: GA OT003594)
Enumeration Date
2006-11-29
Last Update Date
2007-07-09
Business Address
-- LAURA CADLE WALL OT
444 PARK WEST DR.
GROVETOWN, GA 30809
Phone number: 706-868-6543
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Mailing Address
-- LAURA CADLE WALL OT
5003 FARMSTONE CT
EVANS, GA 30809-6074
Phone number: 706-651-9064
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