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1487359337
VALERIE DERISO
TUCKER, GA
NPI
1487359337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: GA PHCP011203)
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
VALERIE DERISO
2912 MOUNTAIN INDUSTRIAL BLVD STE A
TUCKER, GA 30084-3082
Phone number: 470-382-9511
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Mailing Address
VALERIE DERISO
2912 MOUNTAIN INDUSTRIAL BLVD STE A
TUCKER, GA 30084-3082
Phone number: 470-382-9511
Copy
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