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1073010500
PRISCILLA OS HERNANDEZ
SPARKS, GA
NPI
1073010500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
Mrs. PRISCILLA OS HERNANDEZ
605 SYCAMORE DR
SPARKS, GA 31647-7141
Phone number: 229-873-7100
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Mailing Address
Mrs. PRISCILLA OS HERNANDEZ
PO BOX 162
ADEL, GA 31620-0162
Phone number: 229-873-7100
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