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1306305602
DEMITRA ROGERS
LAWRENCEVILLE, GA
NPI
1306305602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT011640)
Enumeration Date
2019-03-16
Last Update Date
2019-06-11
Business Address
DEMITRA ROGERS LMT
860 DULUTH HWY STE 152
LAWRENCEVILLE, GA 30043-5336
Phone number: 678-886-4759
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Mailing Address
DEMITRA ROGERS LMT
PO BOX 15145
ATLANTA, GA 30333-0145
Phone number: 678-886-4759
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