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1346585551
GREGORY WHITE
DECATUR, GA
NPI
1346585551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA pta000628)
Enumeration Date
2012-11-29
Last Update Date
2012-11-29
Business Address
-- GREGORY WHITE
920 CLAIRMONT AVE
DECATUR, GA 30030-1201
Phone number: 404-377-6111
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Mailing Address
-- GREGORY WHITE
97 DAHLGREN ST SE
ATLANTA, GA 30317-1649
Phone number:
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