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1386280576
ANGELA BOSTIC-MADDOX
LAWRENCEVILLE, GA
NPI
1386280576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT003660)
Enumeration Date
2019-11-21
Last Update Date
2019-11-22
Business Address
ANGELA BOSTIC-MADDOX
494 LANCE VIEW LN
LAWRENCEVILLE, GA 30045-8719
Phone number: 404-273-2830
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Mailing Address
ANGELA BOSTIC-MADDOX
494 LANCE VIEW LN
LAWRENCEVILLE, GA 30045-8719
Phone number: 404-273-2830
Copy
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