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Individual

MRS. CAROL LACDAWN GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
3837 LAUREL CREST DRIVE, SNELLVILLE, GA 30039
(770) 979-8869
(770) 979-8869
Mailing address
3837 LAUREL CREST DRIVE, SNELLVILLE, GA 30039
(770) 979-8869
(770) 979-8869

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000493
GA

Other

Enumeration date
10/29/2008
Last updated
10/29/2008
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