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1932447885
KRYSTAL STAR ASHLEY
DOUGLASVILLE, GA
NPI
1932447885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003038)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
-- KRYSTAL STAR ASHLEY
8509 HOSPITAL DR
DOUGLASVILLE, GA 30134-2414
Phone number: 770-947-5440
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Mailing Address
-- KRYSTAL STAR ASHLEY
5160 DUBLIN DR SW
ATLANTA, GA 30331-7876
Phone number: 678-755-1596
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