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1326337379
GENEVA GRACE AARON
DEMOREST, GA
NPI
1326337379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002482)
Enumeration Date
2011-03-30
Last Update Date
2011-03-30
Business Address
-- GENEVA GRACE AARON PTA
590 HISTORICAL HIGHWAY 441, STE. E
DEMOREST, GA 30535-4561
Phone number: 706-754-6611
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Mailing Address
-- GENEVA GRACE AARON PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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