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1669551800
TRACY LOPES
LAWRENCEVILLE, GA
NPI
1669551800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA001971)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
-- TRACY LOPES PTA
601 PROFESSIONAL DR # A SUITE 130
LAWRENCEVILLE, GA 30045-7698
Phone number: 770-517-0839
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Mailing Address
-- TRACY LOPES PTA
PO BOX 518
JONESBORO, GA 30237
Phone number: 770-631-8277
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