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1124674866
TRACIE COGDELL
JONESBORO, GA
NPI
1124674866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2019-08-16
Last Update Date
2019-08-16
Business Address
TRACIE COGDELL
217 ARROWHEAD BLVD BLDG SUITE2A
JONESBORO, GA 30236-1169
Phone number: 404-720-5359
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Mailing Address
TRACIE COGDELL
1904 WATERCREST DR
JONESBORO, GA 30236-8031
Phone number: 404-720-5359
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