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1285285593
VILLA BAKER
GROVETOWN, GA
NPI
1285285593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-27
Last Update Date
2019-09-27
Business Address
VILLA BAKER
143 PAULINE ST
GROVETOWN, GA 30813-4110
Phone number: 706-760-0065
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Mailing Address
VILLA BAKER
143 PAULINE ST
GROVETOWN, GA 30813-4110
Phone number: 706-760-0065
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