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1992389241
LAURA SULLIVAN FENTON
WOODSTOCK, GA
NPI
1992389241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT014284)
Enumeration Date
2021-05-11
Last Update Date
2021-05-17
Business Address
LAURA SULLIVAN FENTON
2001 PROFESSIONAL PKWY STE 220
WOODSTOCK, GA 30188-6444
Phone number: 844-543-8437
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Mailing Address
LAURA SULLIVAN FENTON
293 CREEKRIDGE CIR NW
ACWORTH, GA 30102-6903
Phone number: 229-328-5371
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