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1417534066
TINYKO KOCH
BUFORD, GA
NPI
1417534066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: MS 321389)
Enumeration Date
2021-03-28
Last Update Date
2021-03-28
Business Address
TINYKO KOCH
4046 WATER MILL DR
BUFORD, GA 30519-7269
Phone number: 678-887-8026
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Mailing Address
TINYKO KOCH
4046 WATER MILL DR
BUFORD, GA 30519-7269
Phone number: 678-887-8026
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