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1124615083
CAROLINE ELLIS
CONYERS, GA
NPI
1124615083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
CAROLINE ELLIS
1715 FOXWOOD GLN SE
CONYERS, GA 30013-6302
Phone number: 470-424-3142
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Mailing Address
CAROLINE ELLIS
1715 FOXWOOD GLN SE
CONYERS, GA 30013-6302
Phone number: 470-424-3142
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