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1063757342
LARA RANDLE DEAN
ATLANTA, GA
NPI
1063757342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET001748)
Enumeration Date
2012-11-28
Last Update Date
2012-11-28
Business Address
-- LARA RANDLE DEAN
1833 CLIFTON RD NE
ATLANTA, GA 30329-4021
Phone number: 404-728-6528
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Mailing Address
-- LARA RANDLE DEAN
2900 PHARR COURT SOUTH NW APT. 1106
ATLANTA, GA 30305-4976
Phone number:
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