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1194348391
DEIRDRE DANNETTE WOMACK
FAYETTEVILLE, GA
NPI
1194348391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
DEIRDRE DANNETTE WOMACK
221 BORDEAUX DR
FAYETTEVILLE, GA 30214-5301
Phone number: 404-539-8592
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Mailing Address
DEIRDRE DANNETTE WOMACK
221 BORDEAUX DR
FAYETTEVILLE, GA 30214-5301
Phone number: 404-539-8592
Copy