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1578579686
MICHAEL R WISDOM
MACON, GA
NPI
1578579686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT000867)
Enumeration Date
2006-07-31
Last Update Date
2008-04-20
Business Address
Mr. MICHAEL R WISDOM PT
630 ORANGE ST WISDOM PHYSICAL THERAPY
MACON, GA 31201
Phone number: 478-746-5469
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Mailing Address
Mr. MICHAEL R WISDOM PT
630 ORANGE ST WISDOM PHYSICAL THERAPY
MACON, GA 31201
Phone number: 478-746-5469
Copy
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