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1629176391
ALEXANDER MINEVICH
KENNESAW, GA
NPI
1629176391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: GA OT003641)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mr. ALEXANDER MINEVICH OTR/L
3744 PARK TRACE NW
KENNESAW, GA 30144
Phone number: 770-841-3154
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Mailing Address
Mr. ALEXANDER MINEVICH OTR/L
3744 PARK TRACE NW
KENNESAW, GA 30144
Phone number: 770-841-3154
Copy
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