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1033535620
THALALINE MAYER CLACK
MONROE, GA
NPI
1033535620
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 10022)
Enumeration Date
2014-03-06
Last Update Date
2015-04-06
Business Address
-- THALALINE MAYER CLACK PT, DPT
920 GEORGIA HIGHWAY 138
MONROE, GA 30655-0793
Phone number: 812-345-2685
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Mailing Address
-- THALALINE MAYER CLACK PT, DPT
2180 BREEZEWOOD DRIVE
MONROE, GA 30014-0793
Phone number:
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