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1265170138
KEVIN CORDALE EAFORD
BLAKELY, GA
NPI
1265170138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: GA M5N8Z5B6)
Enumeration Date
2022-05-21
Last Update Date
2022-05-21
Business Address
KEVIN CORDALE EAFORD CPT
164 N OLD RIVER RD
BLAKELY, GA 39823-5337
Phone number: 229-308-6839
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Mailing Address
KEVIN CORDALE EAFORD CPT
PO BOX 1976
MABLETON, GA 30126-1016
Phone number: 229-308-6839
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