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1154672970
ELLEN M POULSEN
DECATUR, GA
NPI
1154672970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 4366)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2012-09-20
Last Update Date
2018-04-05
Business Address
ELLEN M POULSEN PT
2854 MITCHELL PL
DECATUR, GA 30032-4258
Phone number: 404-579-1699
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Mailing Address
ELLEN M POULSEN PT
2854 MITCHELL PL
DECATUR, GA 30032-4258
Phone number: 404-579-1699
Copy
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