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1609996750
GRETCHEN A VANDEWATER
STONE MOUNTAIN, GA
NPI
1609996750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 00016)
Enumeration Date
2007-03-30
Last Update Date
2012-08-09
Business Address
Ms. GRETCHEN A VANDEWATER OTR/L
3615 S ROCKBRIDGE RD
STONE MOUNTAIN, GA 30087-4408
Phone number: 770-879-0817
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Mailing Address
Ms. GRETCHEN A VANDEWATER OTR/L
3615 S ROCKBRIDGE RD
STONE MOUNTAIN, GA 30087-4408
Phone number: 770-879-0817
Copy
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