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1760114888
MELANIE MIRANDA CORSO
CARROLLTON, GA
NPI
1760114888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT015819)
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
MELANIE MIRANDA CORSO PT
1124 N PARK ST STE M
CARROLLTON, GA 30117-2282
Phone number: 770-834-0873
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Mailing Address
MELANIE MIRANDA CORSO PT
150 CLINIC AVE STE 101
CARROLLTON, GA 30117-4402
Phone number: 770-834-0873
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