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1912303264
WILLIAM SHEALY
WOODSTOCK, GA
NPI
1912303264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002558)
Enumeration Date
2014-11-14
Last Update Date
2014-11-14
Business Address
WILLIAM SHEALY
654 WEDGEWOOD DR
WOODSTOCK, GA 30189-1505
Phone number: 573-429-0563
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Mailing Address
WILLIAM SHEALY
654 WEDGEWOOD DR
WOODSTOCK, GA 30189-1505
Phone number: 573-429-0563
Copy
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