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1962197277
MICHAEL SHANE ROBERTS
SUWANEE, GA
NPI
1962197277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
MICHAEL SHANE ROBERTS PTA
2576 LAWRENCEVILLE SUWANEE RD
SUWANEE, GA 30024-7290
Phone number: 770-962-4043
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Mailing Address
MICHAEL SHANE ROBERTS PTA
2576 LAWRENCEVILLE SUWANEE RD
SUWANEE, GA 30024-7290
Phone number:
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