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1801130257
LISLE HAMBRICK
LAWRENCEVILLE, GA
NPI
1801130257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT003350)
Enumeration Date
2012-11-23
Last Update Date
2012-11-23
Business Address
Ms. LISLE HAMBRICK
3100 CLUB DR
LAWRENCEVILLE, GA 30044-2591
Phone number: 770-923-3100
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Mailing Address
Ms. LISLE HAMBRICK
3407 HILL POND DR
BUFORD, GA 30519-7329
Phone number: 678-714-8981
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