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1639456445
CARLOS MANUEL SANTIAGO
KINGSLAND, GA
NPI
1639456445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002862)
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
-- CARLOS MANUEL SANTIAGO PTA
100 LINDSEY LN # A
KINGSLAND, GA 31548-6850
Phone number: 912-729-1333
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Mailing Address
-- CARLOS MANUEL SANTIAGO PTA
PO BOX 949
ROME, GA 30162-0949
Phone number: 706-236-2774
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