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1215302526
CANDICE SHADEL GRANGER
ATHENS, GA
NPI
1215302526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA001850)
Enumeration Date
2015-12-11
Last Update Date
2015-12-11
Business Address
-- CANDICE SHADEL GRANGER COTA/L
775 SUNSET DR
ATHENS, GA 30606-2211
Phone number: 706-425-1500
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Mailing Address
-- CANDICE SHADEL GRANGER COTA/L
748 MOUNTAIN RIDGE WAY
LITHONIA, GA 30058-2923
Phone number: 678-230-2579
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