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1295342731
EVELYN ANITA ANDERSON
GRANTVILLE, GA
NPI
1295342731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric
(Licence: GA 113357)
Enumeration Date
2020-09-29
Last Update Date
2020-09-29
Business Address
EVELYN ANITA ANDERSON
202 CHARLIE FULLER RD
GRANTVILLE, GA 30220-2801
Phone number: 770-927-2290
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Mailing Address
EVELYN ANITA ANDERSON
202 CHARLIE FULLER RD
GRANTVILLE, GA 30220-2801
Phone number: 770-927-2290
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