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1396209110
AUBIE BLAKE MCDANIEL
CUMMING, GA
NPI
1396209110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004049)
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
AUBIE BLAKE MCDANIEL PTA
5610 HAMPTON PARK DR
CUMMING, GA 30041-4004
Phone number: 678-965-5700
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Mailing Address
AUBIE BLAKE MCDANIEL PTA
2131 LUMPKIN CAMPGROUND RD S
DAWSONVILLE, GA 30534-7159
Phone number: 706-531-4769
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