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1477185205
DALE A KLAUSS
FAYETTEVILLE, GA
NPI
1477185205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: GA LDO000702)
Enumeration Date
2020-02-10
Last Update Date
2020-02-10
Business Address
Ms. DALE A KLAUSS LDO
294 KENWOOD RD STE A
FAYETTEVILLE, GA 30214-3451
Phone number: 770-815-9254
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Mailing Address
Ms. DALE A KLAUSS LDO
294 KENWOOD RD STE A
FAYETTEVILLE, GA 30214-3451
Phone number: 770-815-9254
Copy
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