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1497311401
ROSA L BORDEN
VIENNA, GA
NPI
1497311401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: GA 051413705)
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
ROSA L BORDEN
607 S 5TH ST
VIENNA, GA 31092-1529
Phone number: 478-244-4351
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Mailing Address
ROSA L BORDEN
607 S 5TH ST
VIENNA, GA 31092-1529
Phone number: 478-244-4351
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