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1194896076
DEANNA BRUBAKER
LOGANVILLE, GA
NPI
1194896076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT008761)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- DEANNA BRUBAKER PT
150 ATHENS HWY
LOGANVILLE, GA 30052-2277
Phone number: 770-554-2307
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Mailing Address
-- DEANNA BRUBAKER PT
PO BOX 518
JONESBORO, GA 30237-0518
Phone number: 770-631-8277
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