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1093531196
GENESIS E ORELLANA PERDOMO
LAWRENCEVILLE, GA
NPI
1093531196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-11-23
Last Update Date
2024-11-23
Business Address
GENESIS E ORELLANA PERDOMO
815 SUMMER RIDGE LN
LAWRENCEVILLE, GA 30044-3939
Phone number: 678-852-8014
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Mailing Address
GENESIS E ORELLANA PERDOMO
815 SUMMER RIDGE LN
LAWRENCEVILLE, GA 30044-3939
Phone number: 678-852-8014
Copy
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