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1316630700
VALERIE STALLWORTH
BUFORD, GA
NPI
1316630700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: GA 2309)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
VALERIE STALLWORTH LDO
3795 BUFORD DR
BUFORD, GA 30519-4906
Phone number: 770-271-8084
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Mailing Address
VALERIE STALLWORTH LDO
3795 BUFORD DR
BUFORD, GA 30519-4906
Phone number: 702-718-0847
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