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1235347196
WANDA HARRIS
LOGANVILLE, GA
NPI
1235347196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002318)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- WANDA HARRIS PTA
150 ATHENS HWY SUITE 600
LOGANVILLE, GA 30052-2277
Phone number: 770-554-2307
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Mailing Address
-- WANDA HARRIS PTA
3737 NINA CT
LOGANVILLE, GA 30052-5701
Phone number:
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