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1255625125
CLYDE LEE CLEM
MARIETTA, GA
NPI
1255625125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 010069)
Enumeration Date
2011-06-08
Last Update Date
2011-06-08
Business Address
-- CLYDE LEE CLEM PT
3934 HILLSMAN LN
MARIETTA, GA 30062-8724
Phone number: 770-733-9707
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Mailing Address
-- CLYDE LEE CLEM PT
3934 HILLSMAN LN
MARIETTA, GA 30062-8724
Phone number: 770-733-9707
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