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1053483016
MICHELLE JENE BRADSHAW
CARTERSVILLE, GA
NPI
1053483016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT002590)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
-- MICHELLE JENE BRADSHAW
116 FORREST AVE
CARTERSVILLE, GA 30120-3640
Phone number: 770-382-3206
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Mailing Address
-- MICHELLE JENE BRADSHAW
6027 ARMOR DR
POWDER SPRINGS, GA 30127-6244
Phone number: 770-422-2512
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