DARYL FAGAN

DALTON, GA
NPI1225151970
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA 001546)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
MR. DARYL FAGAN
1225 BROADRICK DR
DALTON, GA 30720-2504
Phone number: 706-272-6199
Mailing Address
MR. DARYL FAGAN
45 BOXER LN
ROCK SPRING, GA 30739-8016
Phone number:
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