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1891065637
GARY A SHANKMAN
CANTON, GA
NPI
1891065637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA 000098)
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
Mr. GARY A SHANKMAN PTA
553 RIVERSTONE PKWY SUITE 100
CANTON, GA 30114-5222
Phone number: 770-345-3057
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Mailing Address
Mr. GARY A SHANKMAN PTA
553 RIVERSTONE PKWY SUITE 100
CANTON, GA 30114-5222
Phone number: 770-345-3057
Copy
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