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1306405246
LONNIE KING
DOUGLASVILLE, GA
NPI
1306405246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Additional Taxonomies
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
Mr. LONNIE KING
5288 BROOKSHIRE CT
DOUGLASVILLE, GA 30135-5365
Phone number: 404-351-0903
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Mailing Address
Mr. LONNIE KING
5288 BROOKSHIRE CT
DOUGLASVILLE, GA 30135-5365
Phone number: 404-351-0903
Copy
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