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1194988006
MICHELLE SIMONE BENNETT
STONE MOUNTAIN, GA
NPI
1194988006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: GA cn0028882430)
Enumeration Date
2008-07-10
Last Update Date
2008-07-10
Business Address
-- MICHELLE SIMONE BENNETT
6697 PINE VALLEY TRCE
STONE MOUNTAIN, GA 30087-5819
Phone number: 770-498-5538
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Mailing Address
-- MICHELLE SIMONE BENNETT
6697 PINE VALLEY TRCE
STONE MOUNTAIN, GA 30087-5819
Phone number: 770-498-5538
Copy
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