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1265868277
WILLOW SAMSEL
ATHENS, GA
NPI
1265868277
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Former Name
WILLOW FREDERICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: GA OT002550)
Enumeration Date
2013-09-23
Last Update Date
2016-08-04
Business Address
Mrs. WILLOW SAMSEL OT
1230 BAXTER ST
ATHENS, GA 30606-3712
Phone number: 706-389-2950
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Mailing Address
Mrs. WILLOW SAMSEL OT
1230 BAXTER ST
ATHENS, GA 30606-3712
Phone number: 706-389-2950
Copy
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