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1487615266
LISA MARIE SHORT
GAINESVILLE, GA
NPI
1487615266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT003781)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
LISA MARIE SHORT O.T.
2350 LIMESTONE PKWY
GAINESVILLE, GA 30501-2087
Phone number: 770-534-5154
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Mailing Address
LISA MARIE SHORT O.T.
PO BOX 908063
GAINESVILLE, GA 30501-0916
Phone number: 770-534-5154
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