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1477632792
TYRA MITCHELL
LAWRENCEVILLE, GA
NPI
1477632792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT008433)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
-- TYRA MITCHELL PT
601 PROFESSIONAL DR # A SUITE 130
LAWRENCEVILLE, GA 30045-7698
Phone number: 770-517-0839
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Mailing Address
-- TYRA MITCHELL PT
PO BOX 518
JONESBORO, GA 30237-0518
Phone number: 770-631-8277
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