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1225453079
DELROY THOMAS
MCDONOUGH, GA
NPI
1225453079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: GA pta001826)
Enumeration Date
2014-03-03
Last Update Date
2014-03-03
Business Address
-- DELROY THOMAS PTA
8099 REVERE DR
MCDONOUGH, GA 30252-8924
Phone number: 404-543-3823
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Mailing Address
-- DELROY THOMAS PTA
8099 REVERE DR
MCDONOUGH, GA 30252-8924
Phone number: 404-543-3823
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