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Individual

GUNNAR MENDIOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3150 N COBB PKWY STE 150, KENNESAW, GA 30152-1009
(678) 574-6868
Mailing address
4258 SHIPYARD TRCE NE, ROSWELL, GA 30075-5254
(478) 960-7376

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/16/2018
Last updated
10/16/2018
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