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1932523123
TIMOTHY ULM
TIFTON, GA
NPI
1932523123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OTA001705)
Enumeration Date
2014-02-10
Last Update Date
2014-02-10
Business Address
-- TIMOTHY ULM OT
901 18TH ST E
TIFTON, GA 31794-3648
Phone number: 229-353-6124
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Mailing Address
-- TIMOTHY ULM OT
901 18TH ST E
TIFTON, GA 31794-3648
Phone number: 229-353-6124
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