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1124366349
MARY JINCY CHACKONAL
LAWRENCEVILLE, GA
NPI
1124366349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT008253)
Enumeration Date
2013-01-23
Last Update Date
2013-01-23
Business Address
Mrs. MARY JINCY CHACKONAL MSPT
3100 CLUB DR
LAWRENCEVILLE, GA 30044-2591
Phone number: 770-923-3100
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Mailing Address
Mrs. MARY JINCY CHACKONAL MSPT
3100 CLUB DR
LAWRENCEVILLE, GA 30044-2591
Phone number: 770-923-3100
Copy
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