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1902239049
LISETTE MARIE DAVILA
CUMMING, GA
NPI
1902239049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT011172)
Enumeration Date
2013-08-13
Last Update Date
2013-08-13
Business Address
-- LISETTE MARIE DAVILA DPT
1370 BUFORD HWY STE 108
CUMMING, GA 30041-2723
Phone number: 770-205-1669
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Mailing Address
-- LISETTE MARIE DAVILA DPT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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