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1386460954
ROBBY JOHN MICKELSON
DALTON, GA
NPI
1386460954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002859)
Enumeration Date
2024-11-28
Last Update Date
2024-11-28
Business Address
ROBBY JOHN MICKELSON PTA
1212 BROADRICK DR
DALTON, GA 30720-2503
Phone number: 706-270-8008
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Mailing Address
ROBBY JOHN MICKELSON PTA
1501 SUMMER GATE WAY APT 12
DALTON, GA 30720-5385
Phone number:
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