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1548045404
SAMUEL MARIO BARROS
CONYERS, GA
NPI
1548045404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
(Licence: FL PT38223)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
SAMUEL MARIO BARROS
1603 GEORGIA HIGHWAY 20 NE STE 201
CONYERS, GA 30012-3946
Phone number: 770-929-8411
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Mailing Address
SAMUEL MARIO BARROS
4846 NW 107TH PSGE
DORAL, FL 33178-4353
Phone number: 617-501-1433
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