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1356523385
JIBRIALLAH BERMUDAS
NORCROSS, GA
NPI
1356523385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
175M00000X Midwife, Lay
Enumeration Date
2007-11-30
Last Update Date
2007-11-30
Business Address
-- JIBRIALLAH BERMUDAS
1197 BEAVER RUIN RD STE 102
NORCROSS, GA 30093-6802
Phone number: 770-912-2491
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Mailing Address
-- JIBRIALLAH BERMUDAS
1112 IVEY PARK LN
NORCROSS, GA 30092-4786
Phone number: 770-912-2491
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