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1902180680
STEPHANIE RACHEL CHARLEVILLE
ATLANTA, GA
NPI
1902180680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT009482)
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
-- STEPHANIE RACHEL CHARLEVILLE PT
5529 GLENRIDGE PARK NE
ATLANTA, GA 30342-1792
Phone number: 678-848-9551
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Mailing Address
-- STEPHANIE RACHEL CHARLEVILLE PT
4855 RIVER GREEN PKWY SUITE 130
DULUTH, GA 30096-8336
Phone number: 770-988-2779
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