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1487661690
JONATHAN A MAYNE
CANTON, GA
NPI
1487661690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT005996)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN A MAYNE MPT
320 HOSPITAL RD
CANTON, GA 30114-2432
Phone number: 770-479-5535
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Mailing Address
Mr. JONATHAN A MAYNE MPT
320 HOSPITAL RD
CANTON, GA 30114-2432
Phone number: 770-479-5535
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INDEPENDENT PHYSICAL THERAPY OF GA, LLC