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1588106397
EBONY POLK
DALLAS, GA
NPI
1588106397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2016-11-09
Last Update Date
2016-11-09
Business Address
-- EBONY POLK
63 ACORN DR
DALLAS, GA 30157-3043
Phone number: 678-515-1844
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Mailing Address
-- EBONY POLK
63 ACORN DR
DALLAS, GA 30157-3043
Phone number: 678-515-1844
Copy
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