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1184656332
TERRY LAMAR COBB
MOULTRIE, GA
NPI
1184656332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: GA 20017139030)
Enumeration Date
2006-07-07
Last Update Date
2007-12-05
Business Address
-- TERRY LAMAR COBB
1321 S MAIN ST
MOULTRIE, GA 31768-5809
Phone number: 229-985-2273
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Mailing Address
-- TERRY LAMAR COBB
1321 S MAIN ST
MOULTRIE, GA 31768-5809
Phone number: 229-985-2273
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