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1205275179
LORENZO DEMOND HOOPER
GRAYSON, GA
NPI
1205275179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: GA 4145)
Enumeration Date
2013-06-24
Last Update Date
2016-07-13
Business Address
Mr. LORENZO DEMOND HOOPER CSA
593 BESRA DR
GRAYSON, GA 30017-7947
Phone number: 404-805-9044
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Mailing Address
Mr. LORENZO DEMOND HOOPER CSA
593 BESRA DR
GRAYSON, GA 30017-7947
Phone number: 404-805-9044
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