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1871007153
PATRICIA GRACE ENNIS
WATKINSVILLE, GA
NPI
1871007153
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Other Name
PATRICIA GRACE ANTCLIFF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT005419)
Enumeration Date
2017-11-26
Last Update Date
2018-03-15
Business Address
PATRICIA GRACE ENNIS MOTR/L
1071 THOMAS AVE
WATKINSVILLE, GA 30677-6073
Phone number: 706-224-9154
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Mailing Address
PATRICIA GRACE ENNIS MOTR/L
511 LACEBARK DR
ATHENS, GA 30605-5751
Phone number: 757-876-2796
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