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1528714920
TREY HADDOCK
SUWANEE, GA
NPI
1528714920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003349)
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
TREY HADDOCK
5060 MALLORY CT
SUWANEE, GA 30024-3300
Phone number: 904-753-3968
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Mailing Address
TREY HADDOCK
5060 MALLORY CT
SUWANEE, GA 30024-3300
Phone number: 904-753-3968
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