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1639492382
DIANA CHARLES
DECATUR, GA
NPI
1639492382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA 006193)
Enumeration Date
2010-03-09
Last Update Date
2010-03-09
Business Address
-- DIANA CHARLES LMT, NCTMB
1799 CLAIRMONT RD
DECATUR, GA 30033-4005
Phone number: 404-432-2618
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Mailing Address
-- DIANA CHARLES LMT, NCTMB
606 N CROSSING WAY
DECATUR, GA 30033-4144
Phone number: 404-432-2618
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