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1063061935
KAR OU
DECATUR, GA
NPI
1063061935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT011591)
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
KAR OU
4115 GLENWOOD RD
DECATUR, GA 30032-4727
Phone number: 404-284-6414
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Mailing Address
KAR OU
4115 GLENWOOD RD
DECATUR, GA 30032-4727
Phone number:
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