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1215416664
FATOUMATA WAZIRI
LAWRENCEVILLE, GA
NPI
1215416664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Additional Taxonomies
376J00000X Homemaker
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
FATOUMATA WAZIRI
591 PADEN MILL TRL
LAWRENCEVILLE, GA 30044-6367
Phone number: 240-501-9474
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Mailing Address
FATOUMATA WAZIRI
591 PADEN MILL TRL
LAWRENCEVILLE, GA 30044-6367
Phone number: 240-501-9474
Copy
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