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1508124942
KIMBRA SUZANNE EDGE
DULUTH, GA
NPI
1508124942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT002070)
Enumeration Date
2012-04-23
Last Update Date
2020-02-07
Business Address
Mrs. KIMBRA SUZANNE EDGE OTR/L
11190 MEDLOCK BRIDGE RD
DULUTH, GA 30097-2578
Phone number: 678-849-5847
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Mailing Address
Mrs. KIMBRA SUZANNE EDGE OTR/L
45 DOVER CLIFF WAY
JOHNS CREEK, GA 30022-3202
Phone number: 678-849-5847
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