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1679628200
CHARLENE D PORTEE
STONE MOUNTAIN, GA
NPI
1679628200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT002099)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- CHARLENE D PORTEE PT
2155 W PARK CT SUITE G
STONE MOUNTAIN, GA 30087-3500
Phone number: 770-465-5084
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Mailing Address
-- CHARLENE D PORTEE PT
6040 CANAAN WOODS DR SW
ATLANTA, GA 30331-8052
Phone number: 770-465-5084
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