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1952765307
NEIL E ISOM
FORT MOORE, GA
NPI
1952765307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT011810)
Enumeration Date
2016-04-12
Last Update Date
2023-12-05
Business Address
NEIL E ISOM P.T.
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-1502
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Mailing Address
NEIL E ISOM P.T.
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-1502
Copy
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