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1497296529
TERRANCE HOWARD
VALDOSTA, GA
NPI
1497296529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: GA 17002166)
Enumeration Date
2017-03-08
Last Update Date
2017-03-08
Business Address
-- TERRANCE HOWARD
4213 ROXBURY DR
VALDOSTA, GA 31605-7008
Phone number: 229-412-6397
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Mailing Address
-- TERRANCE HOWARD
4213 ROXBURY DR
VALDOSTA, GA 31605-7008
Phone number: 229-412-6397
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