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1447809306
JUSTIN WINDOM
DECATUR, GA
NPI
1447809306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA002397)
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
JUSTIN WINDOM COTA/L
4115 GLENWOOD RD
DECATUR, GA 30032-4727
Phone number: 404-284-6414
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Mailing Address
JUSTIN WINDOM COTA/L
4115 GLENWOOD RD
DECATUR, GA 30032-4727
Phone number: 404-284-6414
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