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1124100904
JANICE DK ILORI
LOCUST GROVE, GA
NPI
1124100904
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Former Name
JANICE DELORIS KINLAW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT006197)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
-- JANICE DK ILORI
1225 MCALLISTAR DR
LOCUST GROVE, GA 30248-2467
Phone number: 678-432-2044
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Mailing Address
-- JANICE DK ILORI
1225 MCALLISTAR DR
LOCUST GROVE, GA 30248-2467
Phone number: 678-432-2044
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