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1154515542
ETHEL LATARSHA FRAZIER
CONYERS, GA
NPI
1154515542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT006083)
Enumeration Date
2007-08-29
Last Update Date
2007-08-29
Business Address
-- ETHEL LATARSHA FRAZIER PT
3701 JOLANE TER SE
CONYERS, GA 30094-3874
Phone number: 770-785-7937
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Mailing Address
-- ETHEL LATARSHA FRAZIER PT
3701 JOLANE TER SE
CONYERS, GA 30094-3874
Phone number: 770-785-7937
Copy
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