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1912661570
TALISIA GUYTON
MARIETTA, GA
NPI
1912661570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA002345)
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
TALISIA GUYTON COTA/L
100 WHITLOCK AVE NW
MARIETTA, GA 30064-2362
Phone number: 770-872-0767
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Mailing Address
TALISIA GUYTON COTA/L
1950 BARRETT LAKES BLVD NW APT 1024
KENNESAW, GA 30144-7532
Phone number: 813-739-9945
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