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1770045841
MAI SUE GOBERT
DACULA, GA
NPI
1770045841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004218)
Enumeration Date
2019-04-05
Last Update Date
2019-04-05
Business Address
Mrs. MAI SUE GOBERT
2784 JAMES HENRY DR
DACULA, GA 30019-7554
Phone number: 205-260-2170
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Mailing Address
Mrs. MAI SUE GOBERT
2784 JAMES HENRY DR
DACULA, GA 30019-7554
Phone number: 205-260-2170
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