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Individual

MRS. HAIDEE BERNADES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
313 WEXFORD DR, HINESVILLE, GA 31313-4470
(912) 877-0201
Mailing address
313 WEXFORD DR, HINESVILLE, GA 31313-4470
(912) 877-0201

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT004546
GA

Other

Enumeration date
10/03/2007
Last updated
10/03/2007
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