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1528329679
BRENTON STALEY
ATLANTA, GA
NPI
1528329679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT010269)
Enumeration Date
2012-06-05
Last Update Date
2012-06-05
Business Address
-- BRENTON STALEY DPT
2770 LENOX RD NE BLDG 1-02
ATLANTA, GA 30324-2860
Phone number: 404-364-9551
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Mailing Address
-- BRENTON STALEY DPT
2770 LENOX RD NE BLDG 1-02
ATLANTA, GA 30324-2860
Phone number: 404-364-9551
Copy
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