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1326515610
MIKAELA MANTELE
DUBLIN, GA
NPI
1326515610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004126)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
MIKAELA MANTELE PTA
101 FAIRVIEW PARK DR
DUBLIN, GA 31021-2501
Phone number: 478-272-7494
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Mailing Address
MIKAELA MANTELE PTA
305 RAINBOW RD
ELLABELL, GA 31308-8587
Phone number: 303-717-0551
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