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1487846614
EDWIN BANADOS ANDRADA
MACON, GA
NPI
1487846614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 4246)
Enumeration Date
2007-08-12
Last Update Date
2007-10-15
Business Address
Mr. EDWIN BANADOS ANDRADA Physical Therapist
2129 RIVERSIDE DR STE B
MACON, GA 31204-6900
Phone number: 478-741-9672
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Mailing Address
Mr. EDWIN BANADOS ANDRADA Physical Therapist
2129 RIVERSIDE DR STE B
MACON, GA 31204-6900
Phone number: 478-741-9672
Copy
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