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1194504936
LACEY AMANDA DUFF
CUMMING, GA
NPI
1194504936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA 003732)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
LACEY AMANDA DUFF PTA
815 ATLANTA HWY
CUMMING, GA 30040-2707
Phone number: 770-888-4929
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Mailing Address
LACEY AMANDA DUFF PTA
3115 WILLOW WISP WAY
CUMMING, GA 30040-7185
Phone number: 937-567-2834
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