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1386185460
SHARDAE PORTEE
LILBURN, GA
NPI
1386185460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XH1200X Occupational Therapist, Hand
(Licence: GA OT006777)
Enumeration Date
2017-03-09
Last Update Date
2021-11-15
Business Address
SHARDAE PORTEE
966A KILLIAN HILL RD SW
LILBURN, GA 30047-3102
Phone number: 770-923-4815
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Mailing Address
SHARDAE PORTEE
6250 RIVERVIEW RD SE APT 2116
SMYRNA, GA 30126-2979
Phone number: 803-372-7151
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