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1366960213
KITIA MCCULLOUGH
COVINGTON, GA
NPI
1366960213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2017-08-30
Last Update Date
2017-08-30
Business Address
KITIA MCCULLOUGH
1012 RIVERCLIFT DR
COVINGTON, GA 30016-8945
Phone number: 718-807-6845
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Mailing Address
KITIA MCCULLOUGH
863 FLAT SHOALS RD SE STE C161
CONYERS, GA 30094-6633
Phone number: 718-807-6845
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