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1538270962
CARLAS DEWAYNE WOODEN
DUBLIN, GA
NPI
1538270962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002043)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mr. CARLAS DEWAYNE WOODEN LPTA
1826 VETERANS BLVD G&EC SERVICE LINE BLDG 11A
DUBLIN, GA 31021-3620
Phone number: 478-272-1210
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Mailing Address
Mr. CARLAS DEWAYNE WOODEN LPTA
101 SHADOW POND
DUBLIN, GA 31021-6416
Phone number: 478-296-1733
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