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1053748947
DOMINA UMBRAE LLC
ATLANTA, GA
NPI
1053748947
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Entity Type
Organization
Authorized Contact
WILLIAM DAVID MILLER
Owner
706-442-9127
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: GA LPC004441)
Enumeration Date
2013-10-09
Last Update Date
2013-10-09
Business Address
DOMINA UMBRAE LLC
2155 MEADOR AVE SE
ATLANTA, GA 30315-7407
Phone number: 706-442-9127
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Mailing Address
DOMINA UMBRAE LLC
330 HIGH HARDIN WAY
LAWRENCEVILLE, GA 30043-6091
Phone number: 706-442-9127
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