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1881186732
CRISANY LAUREN CARROLL
BUFORD, GA
NPI
1881186732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: GA OT007057)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
CRISANY LAUREN CARROLL OTR/L
22 BUFORD VILLAGE WAY
BUFORD, GA 30518-8846
Phone number: 678-936-1727
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Mailing Address
CRISANY LAUREN CARROLL OTR/L
2275 QUAIL CREEK TER
BUFORD, GA 30519-7019
Phone number:
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