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1124188768
PRAMOD MATHUR
MARIETTA, GA
NPI
1124188768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: GA 033-R-0094)
Enumeration Date
2006-12-12
Last Update Date
2007-07-09
Business Address
MR. PRAMOD MATHUR
1159 MONTE DR
MARIETTA, GA 30062-2896
Phone number: 770-321-6142
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Mailing Address
MR. PRAMOD MATHUR
1159 MONTE DR
MARIETTA, GA 30062-2896
Phone number: 770-321-6142
Copy
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