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1942603972
KIRSTIE LEIGH LUGO
ROSWELL, GA
NPI
1942603972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA ota001546)
Enumeration Date
2014-10-05
Last Update Date
2014-10-05
Business Address
-- KIRSTIE LEIGH LUGO
400 MARIETTA HWY
ROSWELL, GA 30075-4706
Phone number: 770-609-4502
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Mailing Address
-- KIRSTIE LEIGH LUGO
995 WILDE RUN CT
ROSWELL, GA 30075-7186
Phone number: 757-593-3633
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