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1134435092
SHELLEY DIANE MACK
GROVETOWN, GA
NPI
1134435092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
372500000X Chore Provider
Additional Taxonomies
376J00000X Homemaker
Enumeration Date
2010-08-29
Last Update Date
2010-08-29
Business Address
Mrs. SHELLEY DIANE MACK
1514 BALDWIN LAKES DR
GROVETOWN, GA 30813-5887
Phone number: 706-854-0555
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Mailing Address
Mrs. SHELLEY DIANE MACK
1514 BALDWIN LAKES DR
GROVETOWN, GA 30813-5887
Phone number: 706-854-0555
Copy