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1386024941
DAVIDETTA FREEMAN
LAWRENCEVILLE, GA
NPI
1386024941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: GA 155777)
Enumeration Date
2015-06-08
Last Update Date
2015-06-08
Business Address
-- DAVIDETTA FREEMAN SFA, CST
1473 ALAMEIN DR
LAWRENCEVILLE, GA 30046-2862
Phone number: 678-425-4568
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Mailing Address
-- DAVIDETTA FREEMAN SFA, CST
1473 ALAMEIN DR
LAWRENCEVILLE, GA 30046-2862
Phone number: 678-425-4344
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