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1649608068
DENISE NICOLE DURHAM
LAWRENCEVILLE, GA
NPI
1649608068
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Former Name
DENISE NICOLE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: GA 5562)
Enumeration Date
2013-10-22
Last Update Date
2013-10-22
Business Address
Mrs. DENISE NICOLE DURHAM PT
2899 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 30044-5803
Phone number: 770-982-9969
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Mailing Address
Mrs. DENISE NICOLE DURHAM PT
1035 GUNTER CT
ALPHARETTA, GA 30022-3503
Phone number: 770-846-6336
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