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1790234946
BRYANT ALONSO
VALDOSTA, GA
NPI
1790234946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT006569)
Enumeration Date
2016-09-29
Last Update Date
2016-09-29
Business Address
-- BRYANT ALONSO
2941 N ASHLEY ST
VALDOSTA, GA 31602-5945
Phone number: 229-253-8500
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Mailing Address
-- BRYANT ALONSO
2941 N ASHLEY ST
VALDOSTA, GA 31602-5945
Phone number: 229-253-8500
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