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1043242837
TOMOE MARUTA FRYE
STONE MOUNTAIN, GA
NPI
1043242837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA 005059)
Enumeration Date
2006-07-06
Last Update Date
2023-10-12
Business Address
Mrs. TOMOE MARUTA FRYE LPTA
5610 BERMUDA ROAD STE. A
STONE MOUNTAIN, GA 30087
Phone number: 678-684-3872
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Mailing Address
Mrs. TOMOE MARUTA FRYE LPTA
1995 MEYERS DR
LAWRENCEVILLE, GA 30045-3443
Phone number: 479-466-5882
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