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1689073249
BRYAN SHO ODAKURA
AUSTELL, GA
NPI
1689073249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
-- BRYAN SHO ODAKURA PT
1025 E WEST CONNECTOR STE 406
AUSTELL, GA 30106-8513
Phone number: 770-384-1001
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Mailing Address
-- BRYAN SHO ODAKURA PT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-8907
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