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1649645011
CLARENCE WAUGH
RIVERDALE, GA
NPI
1649645011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
Enumeration Date
2015-12-09
Last Update Date
2015-12-09
Business Address
-- CLARENCE WAUGH
171 STERLING RIDGE DR
RIVERDALE, GA 30274-4637
Phone number: 404-202-5098
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Mailing Address
-- CLARENCE WAUGH
171 STERLING RIDGE DR
RIVERDALE, GA 30274-4637
Phone number:
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