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1639843055
CHATITY M MALLARD
FORT VALLEY, GA
NPI
1639843055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2021-08-09
Last Update Date
2021-08-09
Business Address
CHATITY M MALLARD RN
176 CHRISTOPHER CIR
FORT VALLEY, GA 31030-8403
Phone number: 478-501-3805
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Mailing Address
CHATITY M MALLARD RN
176 CHRISTOPHER CIR
FORT VALLEY, GA 31030-8403
Phone number: 478-501-3805
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