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1114074192
HEAVENLY KIMES
CONYERS, GA
NPI
1114074192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA dn012304)
Enumeration Date
2007-01-04
Last Update Date
2008-05-15
Business Address
Dr. HEAVENLY KIMES
3240 GLENCREE ROAD
CONYERS, GA 30012-1167
Phone number: 404-713-4982
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Mailing Address
Dr. HEAVENLY KIMES
3240 GLENCCREE ROAD
CONYERS, GA 30012-1167
Phone number: 678-413-3184
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