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1053475723
KATIE BANNISTER
DACULA, GA
NPI
1053475723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT008836)
Enumeration Date
2006-12-20
Last Update Date
2007-07-09
Business Address
DR. KATIE BANNISTER DPT
3615 BRASELTON HWY SUITE 104
DACULA, GA 30019-5906
Phone number: 770-904-6009
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Mailing Address
DR. KATIE BANNISTER DPT
774 INMAN MEWS DR NE
ATLANTA, GA 30307-2499
Phone number: 678-478-9858
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