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1790908507
WILFREDO BERNARDO CLAVECILLA
WOODSTOCK, GA
NPI
1790908507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT008523)
Enumeration Date
2007-04-10
Last Update Date
2024-12-23
Business Address
WILFREDO BERNARDO CLAVECILLA PT
2295 TOWNE LAKE PKWY STE 148
WOODSTOCK, GA 30189-5520
Phone number: 770-926-2744
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Mailing Address
WILFREDO BERNARDO CLAVECILLA PT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-497-0005
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