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1295805018
KEIVEN GERARD HARRIS
ROSWELL, GA
NPI
1295805018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT8902)
Enumeration Date
2006-11-09
Last Update Date
2008-09-11
Business Address
-- KEIVEN GERARD HARRIS PT
11490 ALPHARETTA HWY SUITE 200
ROSWELL, GA 30076-3811
Phone number: 770-740-8592
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Mailing Address
-- KEIVEN GERARD HARRIS PT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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