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1275176893
ETHEL LEE MOSES
ALBANY, GA
NPI
1275176893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: GA 054598352)
Enumeration Date
2019-10-26
Last Update Date
2019-10-26
Business Address
ETHEL LEE MOSES
1511 W GORDON AVE
ALBANY, GA 31707-4843
Phone number: 229-449-4123
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Mailing Address
ETHEL LEE MOSES
1511 W GORDON AVE
ALBANY, GA 31707-4843
Phone number: 229-449-4123
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