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1932129426
ELLENORA E AVILES
ATHENS, GA
NPI
1932129426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: GA 001956)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- ELLENORA E AVILES OTRL
1500 OGLETHORPE AVE
ATHENS, GA 30606-2179
Phone number: 706-389-2273
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Mailing Address
-- ELLENORA E AVILES OTRL
PO BOX 6588 ST MARYS HOME HEALTH CARE
ATHENS, GA 30604-9828
Phone number: 706-389-2273
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