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1154960672
LUCKY ADDEH
POWDER SPRINGS, GA
NPI
1154960672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: GA PHCP010445)
Enumeration Date
2019-12-31
Last Update Date
2019-12-31
Business Address
LUCKY ADDEH
1440 PADDOCKS CT
POWDER SPRINGS, GA 30127-5514
Phone number: 404-932-3511
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Mailing Address
LUCKY ADDEH
1440 PADDOCKS CT
POWDER SPRINGS, GA 30127-5514
Phone number: 404-932-3511
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