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1447859301
AMANDA ALICIA ARCHER
WOODSTOCK, GA
NPI
1447859301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT013153)
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
AMANDA ALICIA ARCHER DPT
619 EAGLES LNDG
WOODSTOCK, GA 30188-6025
Phone number: 347-820-2161
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Mailing Address
AMANDA ALICIA ARCHER DPT
619 EAGLES LNDG
WOODSTOCK, GA 30188-6025
Phone number: 347-820-2161
Copy
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