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1245783141
LAURA RAE STARK
ATHENS, GA
NPI
1245783141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT006194)
Enumeration Date
2016-07-27
Last Update Date
2016-07-27
Business Address
-- LAURA RAE STARK OTR/L
2470 DANIELS BRIDGE RD BLDG 300
ATHENS, GA 30606-6187
Phone number: 706-389-2950
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Mailing Address
-- LAURA RAE STARK OTR/L
48 S MAIN ST
WATKINSVILLE, GA 30677-7100
Phone number:
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