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1326034471
KEVIN BAERWALDE
LAGRANGE, GA
NPI
1326034471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA LIC006138)
Enumeration Date
2005-09-23
Last Update Date
2008-06-09
Business Address
-- KEVIN BAERWALDE PT
302 S GREENWOOD ST
LAGRANGE, GA 30240-3122
Phone number: 706-884-8360
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Mailing Address
-- KEVIN BAERWALDE PT
302 S GREENWOOD ST
LAGRANGE, GA 30240-3122
Phone number: 706-884-8360
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