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1861172777
MALLORI CHASTAIN
DALTON, GA
NPI
1861172777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003877)
Enumeration Date
2023-07-25
Last Update Date
2023-07-25
Business Address
MALLORI CHASTAIN PTA
2470 DUG GAP RD
DALTON, GA 30720-9210
Phone number: 706-810-5980
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Mailing Address
MALLORI CHASTAIN PTA
199 WALLS RD
TUNNEL HILL, GA 30755-9802
Phone number: 706-483-5983
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