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1821158973
REBECCA MIZE
KENNESAW, GA
NPI
1821158973
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Former Name
REBECCA GOVERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: GA 002491)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
MRS. REBECCA MIZE OTRL
2015 VAUGHN RD NW SUITE 130
KENNESAW, GA 30144-7801
Phone number: 770-425-6661
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Mailing Address
MRS. REBECCA MIZE OTRL
2015 VAUGHN RD NW SUITE 130
KENNESAW, GA 30144-7801
Phone number: 770-425-6661
Copy
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