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1568874501
VILMA GRANGER
LOGANVILLE, GA
NPI
1568874501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA001741)
Enumeration Date
2014-05-26
Last Update Date
2014-05-26
Business Address
-- VILMA GRANGER
580 TOMMY LEE FULLER DR
LOGANVILLE, GA 30052-3943
Phone number: 770-466-7388
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Mailing Address
-- VILMA GRANGER
1441 YORKTON CT
STONE MOUNTAIN, GA 30083-5549
Phone number: 301-792-8085
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