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1477241255
KIM DERRELL HENRY-BOXLEY
ATLANTA, GA
NPI
1477241255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: GA 0028832917)
Enumeration Date
2023-04-28
Last Update Date
2023-04-28
Business Address
Mr. KIM DERRELL HENRY-BOXLEY
1779 RIDGEWOOD DR NE
ATLANTA, GA 30307-1165
Phone number: 404-664-2989
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Mailing Address
Mr. KIM DERRELL HENRY-BOXLEY
1779 RIDGEWOOD DR NE
ATLANTA, GA 30307-1165
Phone number: 404-664-2989
Copy
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