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1437817053
MICHAEL DWAIN TIMPSON
VALDOSTA, GA
NPI
1437817053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
MICHAEL DWAIN TIMPSON
4625 BRIARBERRY DR
VALDOSTA, GA 31602-6768
Phone number: 407-694-9189
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Mailing Address
MICHAEL DWAIN TIMPSON
4625 BRIARBERRY DR
VALDOSTA, GA 31602-6768
Phone number: 407-694-9189
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