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1144796020
IDA MAE HUBLEIN
LAKELAND, GA
NPI
1144796020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
IDA MAE HUBLEIN
265 BASKINS RD
LAKELAND, GA 31635-5224
Phone number: 208-599-1640
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Mailing Address
IDA MAE HUBLEIN
265 BASKINS RD
LAKELAND, GA 31635-5224
Phone number:
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