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1295146793
EDILBERTO MONTENEGRO
NORCROSS, GA
NPI
1295146793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
-- EDILBERTO MONTENEGRO
5376 LAMBERT DR APT A APT A
NORCROSS, GA 30093-4864
Phone number: 470-362-9008
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Mailing Address
-- EDILBERTO MONTENEGRO
5376 A LAMBERT DR APT A
NORCROSS, GA 30093
Phone number: 470-362-9008
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