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1649488776
LARA BOOK WHITAKER
FAYETTEVILLE, GA
NPI
1649488776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 006511)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mrs. LARA BOOK WHITAKER P.T.
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 770-719-7180
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Mailing Address
Mrs. LARA BOOK WHITAKER P.T.
253 GOZA RD
FAYETTEVILLE, GA 30215-5743
Phone number: 770-461-1181
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