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1700598018
MARINA ROSE MALDONADO
COLUMBUS, GA
NPI
1700598018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
MARINA ROSE MALDONADO
3150 PLATEAU DR LOT 303
COLUMBUS, GA 31903-5400
Phone number: 706-322-3773
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Mailing Address
MARINA ROSE MALDONADO
4402 RIVERCHASE DR APT 4106
PHENIX CITY, AL 36867-7551
Phone number: 706-223-8847
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