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1548567381
STACEY AYALA
AUGUSTA, GA
NPI
1548567381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002614)
Enumeration Date
2011-02-14
Last Update Date
2011-02-14
Business Address
-- STACEY AYALA PTA
1930 HIGHLAND AVE STE A
AUGUSTA, GA 30904-7803
Phone number: 706-481-9105
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Mailing Address
-- STACEY AYALA PTA
1930 HIGHLAND AVE STE A
AUGUSTA, GA 30904-7803
Phone number: 706-481-9105
Copy
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