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1023204823
IRAISA M JOSEPHA
ATLANTA, GA
NPI
1023204823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: GA OTA001020)
Enumeration Date
2007-09-15
Last Update Date
2007-09-15
Business Address
Ms. IRAISA M JOSEPHA cota/l
6849 PEACHTREE DUNWOODY RD NE SUITE 102 BLG-1
ATLANTA, GA 30328-1610
Phone number: 866-587-9922
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Mailing Address
Ms. IRAISA M JOSEPHA cota/l
6849 PEACHTREE DUNWOODY RD NE SUITE 102 BLG-1
ATLANTA, GA 30328-1610
Phone number: 866-587-9922
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