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1487250684
JAKEQUELINE WALLS
DECATUR, GA
NPI
1487250684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: GA 051124838)
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
JAKEQUELINE WALLS
2884 RIVER RD
DECATUR, GA 30034-4705
Phone number: 404-516-8509
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Mailing Address
JAKEQUELINE WALLS
2884 RIVER RD
DECATUR, GA 30034-4705
Phone number: 404-516-8509
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