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1700243318
WANDA THORNTON RUCKER
FAYETTEVILLE, GA
NPI
1700243318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-01-27
Last Update Date
2016-01-27
Business Address
Mrs. WANDA THORNTON RUCKER MS
215 EDMONDSON WAY
FAYETTEVILLE, GA 30214-7258
Phone number: 770-460-9078
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Mailing Address
Mrs. WANDA THORNTON RUCKER MS
215 EDMONDSON WAY
FAYETTEVILLE, GA 30214-7258
Phone number: 770-460-9078
Copy
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