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1972826899
CAROLYN T DAVIS
LAWRENCEVILLE, GA
NPI
1972826899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT001114)
Enumeration Date
2010-03-05
Last Update Date
2011-03-01
Business Address
-- CAROLYN T DAVIS LMT NCTMB SET
1130 HURRICANE SHOALS RD NE SUITE 1900
LAWRENCEVILLE, GA 30043-4851
Phone number: 678-462-2972
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Mailing Address
-- CAROLYN T DAVIS LMT NCTMB SET
582 MACKENZIE CT
DACULA, GA 30019-2385
Phone number: 678-462-2972
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