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1447563481
IRIS STANFORD
CARROLLTON, GA
NPI
1447563481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 009969)
Enumeration Date
2010-07-20
Last Update Date
2010-07-20
Business Address
-- IRIS STANFORD DPT
812 S PARK ST
CARROLLTON, GA 30117-4412
Phone number: 770-834-7436
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Mailing Address
-- IRIS STANFORD DPT
120 E CENTER ST
CARROLLTON, GA 30117-3303
Phone number: 770-832-2484
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