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1154702637
JENNIFER LAVALLE
WOODSTOCK, GA
NPI
1154702637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT003794)
Enumeration Date
2015-06-10
Last Update Date
2023-10-07
Business Address
JENNIFER LAVALLE
1806 GRAND OAKS DR
WOODSTOCK, GA 30188-4800
Phone number: 770-361-8478
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Mailing Address
JENNIFER LAVALLE
1806 GRAND OAKS DR
WOODSTOCK, GA 30188-4800
Phone number: 770-361-8478
Copy
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