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1174064141
LISAH MOBLEY
ADEL, GA
NPI
1174064141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: GA 621410)
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
LISAH MOBLEY PP
112 UTAH CIR APT B
ADEL, GA 31620-5286
Phone number: 229-563-0478
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Mailing Address
LISAH MOBLEY PP
112 UTAH CIR APT B
ADEL, GA 31620-5286
Phone number: 229-563-0478
Copy
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