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1780301663
EBONY BELLO
LITHONIA, GA
NPI
1780301663
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Former Name
EBONY CREWS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004851)
Enumeration Date
2022-10-21
Last Update Date
2022-10-21
Business Address
EBONY BELLO PTA
5206 KENSINGTON CIR
LITHONIA, GA 30038-3242
Phone number: 443-695-2705
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Mailing Address
EBONY BELLO PTA
5206 KENSINGTON CIR
LITHONIA, GA 30038-3242
Phone number: 443-695-2705
Copy
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