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1073107470
ROSALIND BUCKNER
DOUGLASVILLE, GA
NPI
1073107470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: GA PHCP011023)
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
ROSALIND BUCKNER
6696 LIVE OAK LN
DOUGLASVILLE, GA 30135-1624
Phone number: 470-330-2838
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Mailing Address
ROSALIND BUCKNER
6696 LIVE OAK LN
DOUGLASVILLE, GA 30135-1624
Phone number: 470-330-2838
Copy
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