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1366708521
DIANA M BOSWELL
LILBURN, GA
NPI
1366708521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA 005203)
Enumeration Date
2012-04-02
Last Update Date
2012-04-02
Business Address
-- DIANA M BOSWELL MCD, CCC
4191 WASH LEE CT SW
LILBURN, GA 30047-7440
Phone number: 770-935-7613
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Mailing Address
-- DIANA M BOSWELL MCD, CCC
4191 WASH LEE CT SW
LILBURN, GA 30047-7440
Phone number: 770-935-7613
Copy
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