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1619181997
KELLY DEAN WINTER
CUMMING, GA
NPI
1619181997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Additional Taxonomies
174400000X Specialist
(Licence: GA 000034)
Enumeration Date
2007-05-09
Last Update Date
2008-05-23
Business Address
Mr. KELLY DEAN WINTER CP, LP
7675 LANIER VIEW RDG
CUMMING, GA 30041-2162
Phone number: 770-844-1909
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Mailing Address
Mr. KELLY DEAN WINTER CP, LP
7675 LANIER VIEW RDG
CUMMING, GA 30041-2162
Phone number: 770-844-1909
Copy