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1093086159
PATRICK K ALFRED
FAYETTEVILLE, GA
NPI
1093086159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: GA 083494)
Enumeration Date
2012-01-21
Last Update Date
2012-01-21
Business Address
PATRICK K ALFRED ABOC
120 GEORGIA AVE E
FAYETTEVILLE, GA 30214-1616
Phone number: 770-719-9500
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Mailing Address
PATRICK K ALFRED ABOC
120 GEORGIA AVE E
FAYETTEVILLE, GA 30214-1616
Phone number: 770-719-9500
Copy
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