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1164414058
MARK THELEN
FORT STEWART, GA
NPI
1164414058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: SC 4300)
Enumeration Date
2005-08-17
Last Update Date
2011-01-28
Business Address
-- MARK THELEN PT
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6780
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Mailing Address
-- MARK THELEN PT
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6780
Copy
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