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1922248244
GUSTAVE JEAN-LOUIS
LAWRENCEVILLE, GA
NPI
1922248244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002345)
Enumeration Date
2009-02-26
Last Update Date
2009-02-26
Business Address
Mr. GUSTAVE JEAN-LOUIS
965 HAVENSTONE WALK
LAWRENCEVILLE, GA 30045-9706
Phone number: 770-736-6383
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Mailing Address
Mr. GUSTAVE JEAN-LOUIS
965 HAVENSTONE WALK
LAWRENCEVILLE, GA 30045-9706
Phone number: 770-736-6383
Copy
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