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1275746257
JEROME TALLEY
ATLANTA, GA
NPI
1275746257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: GA 126167LGB)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Mr. JEROME TALLEY CNA
1135 MONTREAT AVE SW
ATLANTA, GA 30310-3322
Phone number: 404-438-7530
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Mailing Address
Mr. JEROME TALLEY CNA
1135 MONTREAT AVE SW
ATLANTA, GA 30310-3322
Phone number: 404-438-7530
Copy
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