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1063014561
KOLUBAH KERKULA
DECATUR, GA
NPI
1063014561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-132442)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
KOLUBAH KERKULA
465 WINN WAY
DECATUR, GA 30030-1753
Phone number: 470-403-2830
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Mailing Address
KOLUBAH KERKULA
204 MILL CREEK PL
ROSWELL, GA 30076-2062
Phone number: 407-807-2973
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