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1043738362
MONE ANCRUM
LAWRENCEVILLE, GA
NPI
1043738362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2017-09-07
Last Update Date
2022-07-21
Business Address
MONE ANCRUM
4245 WINDALE DR
LAWRENCEVILLE, GA 30044-6869
Phone number: 678-777-2665
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Mailing Address
MONE ANCRUM
4245 WINDALE DR
LAWRENCEVILLE, GA 30044-6869
Phone number: 678-777-2665
Copy
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