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1235465618
MALLORY LANIER ROSCHE
AUGUSTA, GA
NPI
1235465618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 04998)
Enumeration Date
2009-10-20
Last Update Date
2021-10-29
Business Address
MALLORY LANIER ROSCHE MHS
1120 15TH ST
AUGUSTA, GA 30912-6246
Phone number: 706-721-8623
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Mailing Address
MALLORY LANIER ROSCHE MHS
2315 CENTRAL AVE STE C
AUGUSTA, GA 30904-6246
Phone number: 706-364-6172
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