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Individual

JULE G KAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT-OTRL

Contact information

Practice address
2877 CRESSINGTON BND NW, KENNESAW, GA 30144-6090
(770) 479-1950
Mailing address
2877 CRESSINGTON BND NW, KENNESAW, GA 30144-6090
(770) 479-1950

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002591
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000903724B
GA
Enumeration date
11/29/2006
Last updated
03/18/2015
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