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1790500510
DENICE CARROLL MCMAHAN
KENNESAW, GA
NPI
1790500510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA002296)
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
DENICE CARROLL MCMAHAN
5150 STILESBORO RD NW STE 210
KENNESAW, GA 30152-7742
Phone number: 404-273-7478
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Mailing Address
DENICE CARROLL MCMAHAN
5150 STILESBORO RD NW STE 210
KENNESAW, GA 30152-7742
Phone number: 404-273-7478
Copy
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