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1710193446
LAURA MARIE CARLSON
DECATUR, GA
NPI
1710193446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT007299)
Enumeration Date
2007-05-16
Last Update Date
2012-08-08
Business Address
-- LAURA MARIE CARLSON
142 RIDLEY LANE
DECATUR, GA 30030
Phone number: 404-406-7109
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Mailing Address
-- LAURA MARIE CARLSON
142 RIDLEY LN
DECATUR, GA 30030-2909
Phone number: 404-406-7109
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