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1285873216
SHANAVORN DEAUNDRA MCMULLEN
MILLEDGEVILLE, GA
NPI
1285873216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 10972)
Enumeration Date
2009-02-15
Last Update Date
2009-02-15
Business Address
-- SHANAVORN DEAUNDRA MCMULLEN PT
115 COMMODORE DR NW
MILLEDGEVILLE, GA 31061-8211
Phone number: 478-457-5621
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Mailing Address
-- SHANAVORN DEAUNDRA MCMULLEN PT
115 COMMODORE DR NW
MILLEDGEVILLE, GA 31061-8211
Phone number: 478-457-5621
Copy
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