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1689366262
DAVIS MARTIN
WOODSTOCK, GA
NPI
1689366262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 489346)
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
DAVIS MARTIN
4580 TOWNE LAKE PKWY
WOODSTOCK, GA 30189-5521
Phone number: 678-771-6459
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Mailing Address
DAVIS MARTIN
2508 AYCOCK CEMETERY ROAD
LEIGHTON, AL 35646
Phone number: 970-417-7462
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