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1295228781
LYDIA MIKULA CLACKUM
LOGANVILLE, GA
NPI
1295228781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT013374)
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
LYDIA MIKULA CLACKUM DPT
3455 HIGHWAY 81 SOUTH
LOGANVILLE, GA 30052-3918
Phone number: 678-635-8280
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Mailing Address
LYDIA MIKULA CLACKUM DPT
3455 HIGHWAY 81 SOUTH
LOGANVILLE, GA 30052-3918
Phone number: 770-554-0665
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