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1255018016
YOLANDA POLK
FAYETTEVILLE, GA
NPI
1255018016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2023-07-03
Last Update Date
2023-07-03
Business Address
YOLANDA POLK
115 PROMENADE PKWY STE A
FAYETTEVILLE, GA 30214-7713
Phone number: 504-914-1416
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Mailing Address
YOLANDA POLK
2613 BLUESTONE DR SW
ATLANTA, GA 30331-9498
Phone number: 504-914-1416
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