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1194272617
STEPHEN ALEXANDER LEO
CUMMING, GA
NPI
1194272617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT012608)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- STEPHEN ALEXANDER LEO PT, DPT
1370 BUFORD HWY STE 108
CUMMING, GA 30041-6582
Phone number: 770-205-1669
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Mailing Address
-- STEPHEN ALEXANDER LEO PT, DPT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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