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1780755124
DANIEL EDWARD WORTHINGTON
FAYETTEVILLE, GA
NPI
1780755124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT006100)
Enumeration Date
2006-11-09
Last Update Date
2007-07-09
Business Address
Mr. DANIEL EDWARD WORTHINGTON P.T.
155 GRAY FOX PT
FAYETTEVILLE, GA 30214-3695
Phone number: 678-817-1774
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Mailing Address
Mr. DANIEL EDWARD WORTHINGTON P.T.
155 GRAY FOX PT
FAYETTEVILLE, GA 30214-3695
Phone number: 678-817-1774
Copy
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