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1063167500
DONALD MERCADO
BUFORD, GA
NPI
1063167500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT015767)
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
DONALD MERCADO
4510 NELSON BROGDON BLVD
BUFORD, GA 30518-3478
Phone number: 770-945-1045
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Mailing Address
DONALD MERCADO
6397 LEE HWY
CHATTANOOGA, TN 37421-2564
Phone number: 423-238-3473
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