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1003140435
GENETTE MARY PHELPS
MARTINEZ, GA
NPI
1003140435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: FL IMH 6160)
Enumeration Date
2009-10-02
Last Update Date
2009-10-02
Business Address
Ms. GENETTE MARY PHELPS MHS
4512 JESSIE RD
MARTINEZ, GA 30907-9759
Phone number: 706-814-6779
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Mailing Address
Ms. GENETTE MARY PHELPS MHS
4512 JESSIE RD
MARTINEZ, GA 30907-9759
Phone number: 706-814-6779
Copy
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