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1588093439
CORAL ELIZABETH QUINN PERNICIARO
DACULA, GA
NPI
1588093439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT011125)
Enumeration Date
2013-11-01
Last Update Date
2014-05-22
Business Address
Mrs. CORAL ELIZABETH QUINN PERNICIARO D.P.T.
3635 BRASELTON HWY SUITE C
DACULA, GA 30019-1068
Phone number: 770-932-4332
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Mailing Address
Mrs. CORAL ELIZABETH QUINN PERNICIARO D.P.T.
3635 BRASELTON HWY SUITE C
DACULA, GA 30019-1068
Phone number: 770-932-4332
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