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1124882428
MAZIE DOUGLAS
LITHONIA, GA
NPI
1124882428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Additional Taxonomies
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
MAZIE DOUGLAS
1918 PANOLA RD
LITHONIA, GA 30058-5520
Phone number: 404-597-2203
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Mailing Address
MAZIE DOUGLAS
1918 PANOLA RD
LITHONIA, GA 30058-5520
Phone number: 404-597-2203
Copy
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