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1770708844
CHARLES E MIKE
ATLANTA, GA
NPI
1770708844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA ota000896)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Mr. CHARLES E MIKE
6849 PEACHTREE DUNWOODY RD NE STE 102
ATLANTA, GA 30328-1610
Phone number: 678-587-9922
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Mailing Address
Mr. CHARLES E MIKE
10206 CAVALIER XING
LITHONIA, GA 30038-5363
Phone number:
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