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1700910338
LINDA LANE
FAYETTEVILLE, GA
NPI
1700910338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP001609)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- LINDA LANE
130 HOWARD LN
FAYETTEVILLE, GA 30215-1849
Phone number: 770-460-0165
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Mailing Address
-- LINDA LANE
220 MANOR DR
FAYETTEVILLE, GA 30215-7618
Phone number:
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