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PATRICIA ANN REDFEARN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
878 N GRAND AVE NW, ATLANTA, GA 30318-4707
(404) 671-2376
Mailing address
3644 CHAMBLEE TUCKER RD, SUITE B, CHAMBLEE, GA 30341-4405
(770) 723-7770
(770) 491-1001

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005881
GA

Other

Enumeration date
08/20/2010
Last updated
08/20/2010
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