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1760894166
LISA GAULT
DECATUR, AL
NPI
1760894166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH 1772)
Enumeration Date
2014-05-20
Last Update Date
2014-05-20
Business Address
-- LISA GAULT M.S.P.T.
216 JOHNSTON ST SE
DECATUR, AL 35601-2516
Phone number: 256-686-2212
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Mailing Address
-- LISA GAULT M.S.P.T.
216 JOHNSTON ST SE
DECATUR, AL 35601-2516
Phone number: 256-686-2212
Copy
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