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1770033664
MICHAEL JOHN SPENCE
GRIFFIN, GA
NPI
1770033664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003697)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
-- MICHAEL JOHN SPENCE PTA
1438 HIGHWAY 16 W STE C
GRIFFIN, GA 30223-2096
Phone number: 770-233-0350
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Mailing Address
-- MICHAEL JOHN SPENCE PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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