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1144783002
KAREN BOMAR NICKERSON
LILBURN, GA
NPI
1144783002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT007352)
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
KAREN BOMAR NICKERSON OTR/L
76A CAMP CREEK RD SW
LILBURN, GA 30047-3909
Phone number: 404-805-6482
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Mailing Address
KAREN BOMAR NICKERSON OTR/L
76A CAMP CREEK RD SW
LILBURN, GA 30047-3909
Phone number: 404-805-6482
Copy
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