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1467808246
PHEDRA FIELDS
FAYETTEVILLE, GA
NPI
1467808246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA ot005981)
Enumeration Date
2016-05-10
Last Update Date
2016-05-10
Business Address
-- PHEDRA FIELDS
290 HIGHWAY 314 SUITE B
FAYETTEVILLE, GA 30214-7813
Phone number: 404-994-7727
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Mailing Address
-- PHEDRA FIELDS
290 HIGHWAY 314 SUITE B
FAYETTEVILLE, GA 30214-7813
Phone number: 404-994-7727
Copy
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