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Individual

AMY L ASEVEDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5109 ATLANTA HWY, FLOWERY BRANCH, GA 30542
(678) 933-3780
Mailing address
4815 CLARKSTONE DR, FLOWERY BRANCH, GA 30542-3326
(678) 933-3780

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011976
GA

Other

Enumeration date
09/29/2025
Last updated
09/29/2025
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