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1184109118
EDLENE BUIE
VALDOSTA, GA
NPI
1184109118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: GA RN149747)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
EDLENE BUIE
2009 FALLINGLEAF LN
VALDOSTA, GA 31602-1500
Phone number: 229-300-2334
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Mailing Address
EDLENE BUIE
2009 FALLINGLEAF LN
VALDOSTA, GA 31602-1500
Phone number: 229-300-2334
Copy
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