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1407589211
MALISA FUNDERBURK
BUFORD, GA
NPI
1407589211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-07-08
Last Update Date
2022-07-08
Business Address
MALISA FUNDERBURK
4330 S LEE ST STE 600
BUFORD, GA 30518-5795
Phone number: 770-648-2500
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Mailing Address
MALISA FUNDERBURK
4992 PRICE DR
SUWANEE, GA 30024-4186
Phone number:
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