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1639915986
SIMONE GOSS
LOGANVILLE, GA
NPI
1639915986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: GA CN0014244097)
Enumeration Date
2024-07-06
Last Update Date
2024-07-06
Business Address
SIMONE GOSS
1040 RICHMOND PLACE WAY
LOGANVILLE, GA 30052-9074
Phone number: 860-816-2842
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Mailing Address
SIMONE GOSS
1040 RICHMOND PLACE WAY
LOGANVILLE, GA 30052-9074
Phone number: 860-816-2842
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