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1174193304
EMMIE BETHEA
DALLAS, GA
NPI
1174193304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003131)
Enumeration Date
2021-06-29
Last Update Date
2021-06-29
Business Address
EMMIE BETHEA
662 CAMPGROUND SCHOOL RD
DALLAS, GA 30157-8791
Phone number: 912-704-9207
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Mailing Address
EMMIE BETHEA
662 CAMPGROUND SCHOOL RD
DALLAS, GA 30157-8791
Phone number: 912-704-9207
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