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1639231103
KIM E CHASTAIN
KENNESAW, GA
NPI
1639231103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT003909)
Enumeration Date
2006-12-14
Last Update Date
2008-01-30
Business Address
Mrs. KIM E CHASTAIN P.T., O.C.S.
3450 ACWORTH DUE WEST RD NW SUITE 310
KENNESAW, GA 30144-1001
Phone number: 770-974-7494
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Mailing Address
Mrs. KIM E CHASTAIN P.T., O.C.S.
3450 ACWORTH DUE WEST RD NW SUITE 310
KENNESAW, GA 30144-1001
Phone number: 770-974-7494
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