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1417697186
JANIE MAE SAMUEL
LITHONIA, GA
NPI
1417697186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
(Licence: GA 22046011)
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
JANIE MAE SAMUEL
7177 SWEET GUM CT
LITHONIA, GA 30058-2993
Phone number: 770-572-9842
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Mailing Address
JANIE MAE SAMUEL
7177 SWEET GUM CT
LITHONIA, GA 30058-2993
Phone number: 770-572-9842
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