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1659676104
JENNIFER RICHARDS BAZEMORE
MARIETTA, GA
NPI
1659676104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT006147)
Enumeration Date
2011-01-13
Last Update Date
2011-01-13
Business Address
-- JENNIFER RICHARDS BAZEMORE pt
3139 MILFORD CHASE SW
MARIETTA, GA 30008-5786
Phone number: 404-788-3419
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Mailing Address
-- JENNIFER RICHARDS BAZEMORE pt
3139 MILFORD CHASE SW
MARIETTA, GA 30008-5786
Phone number: 404-788-3419
Copy
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