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1720543879
NANISHA MARTINEZ
LAWRENCEVILLE, GA
NPI
1720543879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: GA OT007251)
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
NANISHA MARTINEZ
1509 ATKINSON RD STE 1100
LAWRENCEVILLE, GA 30043-7986
Phone number: 770-995-2379
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Mailing Address
NANISHA MARTINEZ
4003 INDIAN MANOR DR
STONE MOUNTAIN, GA 30083-4627
Phone number: 770-608-9011
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