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1295802502
COY LEVERETTE
MCDONOUGH, GA
NPI
1295802502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: GA PT008517)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
Mr. COY LEVERETTE MPT
106 VININGS DR
MCDONOUGH, GA 30253-5978
Phone number: 770-288-2441
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Mailing Address
Mr. COY LEVERETTE MPT
106 VININGS DR
MCDONOUGH, GA 30253-5978
Phone number: 770-288-2441
Copy
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