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1316585276
KACIE LYDELL
ATLANTA, GA
NPI
1316585276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004357)
Enumeration Date
2019-12-11
Last Update Date
2019-12-11
Business Address
KACIE LYDELL PTA
1005 VIRGINIA AVE STE 100
ATLANTA, GA 30354-1365
Phone number: 404-762-1001
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Mailing Address
KACIE LYDELL PTA
1005 VIRGINIA AVE STE 100
ATLANTA, GA 30354-1365
Phone number:
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